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1205217569
DARYL AMA BOSOMPEM
HACKENSACK, NJ
NPI
1205217569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NJ 25MA10375200)
Enumeration Date
2015-06-12
Last Update Date
2018-07-11
Business Address
DARYL AMA BOSOMPEM
30 PROSPECT AVE
HACKENSACK, NJ 07601
Phone number: 551-996-2331
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Mailing Address
DARYL AMA BOSOMPEM
46 ANDERSON ST
HACKENSACK, NJ 07601-4570
Phone number:
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