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1013655844
DANIEL JUSTIN MOUSSOUROS
JERSEY CITY, NJ
NPI
1013655844
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-23
Last Update Date
2022-05-23
Business Address
Dr. DANIEL JUSTIN MOUSSOUROS DO
176 PALISADE AVE
JERSEY CITY, NJ 07306-1121
Phone number: 201-795-8201
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Mailing Address
Dr. DANIEL JUSTIN MOUSSOUROS DO
11 PRIMROSE AVE
MOUNT VERNON, NY 10552-3021
Phone number: 914-262-7772
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