Most Relevant Information
Provider Data
| NPI Number: | 1003249319 |
| Provider Name: | JORGE LUIS VIVAR-AGUIRRE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2013 |
| Last Updated: | 09/07/2016 |
Provider Practice Location
350 ENGLE ST
ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE
ENGLEWOOD
NJ
076311808
Practice Location Phone/Fax
| Phone: | 2019843664 |
| Fax: |
Provider Mailing Location
350 ENGLE ST
ENGLEWOOD HOSPITAL-DEPARTAMENT OF MEDICINE
ENGLEWOOD
NJ
076311808
Provider Mailing Phone/Fax
| Phone: | 2019843664 |
| Fax: |