Virgilio Coronado Vicente, MD

NPI #1780790998 in Newark, New Jersey

Provider Information

NPI Number: 1780790998
Entity Type: Individual
Name: Virgilio Coronado Vicente, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Aug 21, 2006
Last Updated: Aug 25, 2016

Practice Location

Address: 155 JEFFERSON ST
Address 2: SUITE # 3
City: Newark
State: New Jersey
ZIP Code: 07105-1706
Phone: (973) 466-0300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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