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1316406127
ERIC DEGAETANO
NEWARK, NJ
NPI
1316406127
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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
2019-03-19
Last Update Date
2019-03-19
Business Address
ERIC DEGAETANO DO
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-972-4300
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Mailing Address
ERIC DEGAETANO DO
225 CORTELYOU AVE
STATEN ISLAND, NY 10312-2420
Phone number:
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