Eduardo F Enriquez, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA05198500 Issued in NJ

Legal business name

EDUARDO F ENRIQUEZ, MD, LLC

Practice address

3 Brendenwood Dr
Voorhees, NJ 08043-1603

Phone

(856) 874-0202

NPI assigned

Jan 4, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eduardo Enriquez

Title

Provider/Owner

Phone

(856) 874-0202

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1265779771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRENDENWOOD DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRENDENWOOD DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431603",
            "telephone_number": "856-874-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUARDO F ENRIQUEZ, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "856-874-0202"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA05198500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation
• Julia Marie Edelman, PHYSICAL THERAPIST
• Alison Eden, PTA
• Ninelle Edenne
• Keith J Edinburgh, MD
• Edward Melman, O.D.
• Susan Jane Edwards, PHD
• Elizabeth A Egan, MD
• Regina Egerton, LICENSED SOCAIL WORK
• Hugh Ehrenberg, MD

• Internal Medicine Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.