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1083073795
EDWARD MATTHEW LOSCALZO
SEAFORD, NY
NPI
1083073795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019546)
Enumeration Date
2016-02-23
Last Update Date
2016-02-23
Business Address
Mr. EDWARD MATTHEW LOSCALZO PA
659 DIANNE ST
SEAFORD, NY 11783-1112
Phone number: 631-748-5586
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Mailing Address
Mr. EDWARD MATTHEW LOSCALZO PA
659 DIANNE ST
SEAFORD, NY 11783-1112
Phone number: 631-748-5586
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