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1205302619
ANDREW TRUONG
HACKENSACK, NJ
NPI
1205302619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00547100)
Enumeration Date
2018-10-23
Last Update Date
2019-11-14
Business Address
ANDREW TRUONG PA
30 PROSPECT AVE # ETD
HACKENSACK, NJ 07601-1915
Phone number: 201-893-1292
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Mailing Address
ANDREW TRUONG PA
293 TAFT RD
RIVER EDGE, NJ 07661-1011
Phone number: 201-893-1292
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