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1043554512
IWONA PEDATELLA
MONTVALE, NJ
NPI
1043554512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00290300)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
-- IWONA PEDATELLA PA-C
221 W GRAND AVE
MONTVALE, NJ 07645-1729
Phone number: 201-307-0075
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Mailing Address
-- IWONA PEDATELLA PA-C
4000 RIVERDALE RD 402
RIVERDALE, NJ 07457-1729
Phone number: 973-896-1344
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