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1386157121
NICHOLAS THOMAS DISOMMA
RIVERDALE, NJ
NPI
1386157121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01764400)
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
NICHOLAS THOMAS DISOMMA
69 NEWARK POMPTON TPKE
RIVERDALE, NJ 07457-1426
Phone number: 973-248-8111
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Mailing Address
NICHOLAS THOMAS DISOMMA
194 EDISON RD
SPARTA, NJ 07871-3848
Phone number:
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