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1285197863
MATTHEW JOHN FATA
HACKENSACK, NJ
NPI
1285197863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
Dr. MATTHEW JOHN FATA DO
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-4348
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Mailing Address
Dr. MATTHEW JOHN FATA DO
627 3RD AVE
LYNDHURST, NJ 07071-1231
Phone number: 201-403-8985
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