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NPI Provider: 1861491540
Contact Name: Breslin P Kevin
Position: Executive VP
Phone: (201) 242-4004
493 Black Oak Ridge Road, Llc Information:
493 Black Oak Ridge Road, Llc organization have npi 1861491540, taxonomy code is 314000000X with license number is in . This Business address located in 493 Black Oak Ridge Rd, Wayne, NJ 74706 New Jersey. Get directions of 493 Black Oak Ridge Road, Llc.
Practice Location
Address: 493 Black Oak Ridge Rd, Wayne, NJ 74706
Phone: (973) 692-9500
Business Location
Address: 493 Black Oak Ridge Rd, Wayne, NJ 74706
Phone: (973) 692-9500
Fax: (973) 692-1992
Taxonomy
Taxonomy Code: 314000000X
License Number:
License Number of State: NJ
Primary Taxonomy Switch: Y
Enumeration Date: 7/15/2005
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