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1346212156
IRINA BASS
FAIR LAWN, NJ
NPI
1346212156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NJ 25MA07639000)
Enumeration Date
2006-02-06
Last Update Date
2007-07-08
Business Address
Dr. IRINA BASS MD
15-01 BROADWAY SUITE36
FAIR LAWN, NJ 07410-6003
Phone number: 201-773-6171
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Mailing Address
Dr. IRINA BASS MD
15-01 BROADWAY STE 36
FAIR LAWN, NJ 07410-6006
Phone number: 201-773-6171
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