Provider Demographics
NPI:1790015659
Name:PAZ-QUERUBIN, EMMA-RUTH PALILEO (APN)
Entity Type:Individual
Prefix:MRS
First Name:EMMA-RUTH
Middle Name:PALILEO
Last Name:PAZ-QUERUBIN
Suffix:
Gender:F
Credentials:APN
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:COMPREHENSIVE CANCER & HEMATOLOGY SPECIALISTS P.C.
Mailing Address - Street 2:705 WHITE HORSE RD SUITE D105
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043
Mailing Address - Country:US
Mailing Address - Phone:856-435-1777
Mailing Address - Fax:856-435-0696
Practice Address - Street 1:705 WHITE HORSE RD
Practice Address - Street 2:SUITE D105
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-435-1777
Practice Address - Fax:856-435-0696
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-28
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00191900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner