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1023644218
CANAAN MEDICAL LLC
BRONX, NY
NPI
1023644218
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Entity Type
Organization
Authorized Contact
KEVIN A OBI
Nurse
973-342-5593
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
CANAAN MEDICAL LLC
661 CAULDWELL AVE
BRONX, NY 10455-1503
Phone number: 973-342-5593
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Mailing Address
CANAAN MEDICAL LLC
4 SOMERSET ST APT 3B
NEWARK, NJ 07103-4150
Phone number: 973-342-5593
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