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1215559497
JONATHAN STARK
PARSIPPANY, NJ
NPI
1215559497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00352200)
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
JONATHAN STARK PTA
100 MAZDABROOK RD
PARSIPPANY, NJ 07054-3304
Phone number: 973-952-5300
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Mailing Address
JONATHAN STARK PTA
152 WESTERN AVE
MORRISTOWN, NJ 07960-5035
Phone number: 973-634-5024
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