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>> Otolaryngology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1306893698

Individual Registrant:
Gender: M
Not Sole Proprietor

Location and contact information for practice:
Tel: 973-328-0611  Fax: 973-328-3293

Contact information for business:
Tel: 305-743-7295  Fax: 305-743-7960

Registration Information:
NPI: 1306893698
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Y00000XAllopathic & Osteopathic Physicians

Legacy codes, insurance codes and state license numbers:



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