Provider Demographics
NPI:1154692945
Name:RAZON, RUBEN B (RN)
Entity type:Individual
Prefix:MR
First Name:RUBEN
Middle Name:B
Last Name:RAZON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4707
Mailing Address - Country:US
Mailing Address - Phone:201-483-6903
Mailing Address - Fax:
Practice Address - Street 1:189 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4707
Practice Address - Country:US
Practice Address - Phone:201-483-6903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY627926163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse