PAUL ERICSON SANTIAGO CARILLO

BASKING RIDGE, NJ
NPI1326249020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  PT40QA01235100)
Enumeration Date2007-05-30
Last Update Date2007-07-08
Business Address
Mr. PAUL ERICSON SANTIAGO CARILLO P.T.
9000 FELLOWSHIP RD
BASKING RIDGE, NJ 07920-3912
Phone number: 908-580-3827
Mailing Address
Mr. PAUL ERICSON SANTIAGO CARILLO P.T.
79 GRANDVIEW DR
WEST PATERSON, NJ 07424-2709
Phone number: 732-794-0423
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