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1194875252
DANIEL SIME VIDAIC
FAIR LAWN, NJ
NPI
1194875252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00904900)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
Dr. DANIEL SIME VIDAIC DPT
15-01 BROADWAY SUITE 30A
FAIR LAWN, NJ 07410-6003
Phone number: 201-703-7107
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Mailing Address
Dr. DANIEL SIME VIDAIC DPT
461 GROVE ST
ORADELL, NJ 07649-1719
Phone number: 201-262-5840
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