SearchNew Jersey106E00000X

Ivan Tyrell Aquino

NPI 1306670351 · on the registry since 2024

Practice

Address
130 Terhune Ave Fl 2
Jersey City, NJ 07305
Phone
(201) 895-3193

Registry record

Primary taxonomy
106E00000X
106E00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-30

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