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1043531726
KENNEDY PALWASHA FAZLI DAFTANI
VERONA, NJ
NPI
1043531726
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MA09194600)
Enumeration Date
2010-06-17
Last Update Date
2023-11-08
Business Address
DR. KENNEDY PALWASHA FAZLI DAFTANI M.D, MHSA
271 GROVE AVE STE A
VERONA, NJ 07044-1731
Phone number: 973-239-2600
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Mailing Address
DR. KENNEDY PALWASHA FAZLI DAFTANI M.D, MHSA
271 GROVE AVE STE E
VERONA, NJ 07044-1730
Phone number: 973-559-3700
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