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Alyssa Requillo
NPI 1043967888 · on the registry since 2022
Practice
- Address
- 11 Urma Pl
Bloomfield, NJ 07003 - Phone
- (973) 508-0205
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey