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1366990020
DANIEL JAMES LODGE
PRINCETON, NJ
NPI
1366990020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00408800)
Enumeration Date
2016-09-12
Last Update Date
2019-10-02
Business Address
DANIEL JAMES LODGE PA-C
325 PRINCETON AVE
PRINCETON, NJ 08540-1617
Phone number: 856-296-9445
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Mailing Address
DANIEL JAMES LODGE PA-C
325 PRINCETON AVE
PRINCETON, NJ 08540-1617
Phone number: 609-924-8131
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