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1174249569
RICHARD MAXWELL
WEST CALDWELL, NJ
NPI
1174249569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01901000)
Enumeration Date
2022-10-17
Last Update Date
2022-10-17
Business Address
RICHARD MAXWELL PT. DPT
760 BLOOMFIELD AVE
WEST CALDWELL, NJ 07006-6710
Phone number: 973-954-9190
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Mailing Address
RICHARD MAXWELL PT. DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 973-584-3192
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