Justin Rafael Ovalles De la Fuente
Justin Rafael Ovalles De la Fuente is a Student in an Organized Health Care Education/Training Program in New Brunswick, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.
- Licensed in
- NJ
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
New Brunswick, NJNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 25MA12154500 (NJ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1881270379 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | June 12, 2024 |
| Certification date | June 12, 2024 |
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