Individual provider · NPI-1

Dr. Edrik Josue Acevedo Beltran, M.D.

Internal Medicine · Hackensack, NJ

NPI number1427478353
StatusActive
Last updated in NPPESJun 27, 2019

Details

NPI
1427478353
Entity type
Individual (NPI-1)
Name
Dr. Edrik Josue Acevedo Beltran
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 18, 2014
Last updated
Jun 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine25MA10413900NJYes

Practice location

30 Prospect Ave
Hackensack, NJ 07601-1915

Phone 551-996-2000 · Fax 551-996-0543

Mailing address

30 Prospect Ave
Hackensack, NJ 07601-1915

Phone 551-996-2000 · Fax 551-996-0543

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