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1154104065
PAUL VINCENT FRAGANTE
BERGENFIELD, NJ
NPI
1154104065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA02198700)
Enumeration Date
2023-08-15
Last Update Date
2023-08-15
Business Address
-- PAUL VINCENT FRAGANTE PT, DPT
253 S WASHINGTON AVE
BERGENFIELD, NJ 07621-3739
Phone number: 201-338-4053
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Mailing Address
-- PAUL VINCENT FRAGANTE PT, DPT
4-18 LYONS AVE
FAIR LAWN, NJ 07410-1159
Phone number: 201-310-8262
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