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1083242887
JUSTIN JOSEPH PANTHAPPATTU
HACKENSACK, NJ
NPI
1083242887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA11886500)
Enumeration Date
2020-03-29
Last Update Date
2023-10-30
Business Address
JUSTIN JOSEPH PANTHAPPATTU MD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
JUSTIN JOSEPH PANTHAPPATTU MD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number:
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