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1154759298
DIVYA MADAN
BAYONNE, NJ
NPI
1154759298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 034823)
Enumeration Date
2013-10-29
Last Update Date
2013-10-29
Business Address
-- DIVYA MADAN
901 AVENUE C
BAYONNE, NJ 07002-3012
Phone number: 201-339-2225
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Mailing Address
-- DIVYA MADAN
106 MERRYWOOD DR
EDISON, NJ 08817-2505
Phone number: 732-666-7722
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