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1386603785
MATIS A. FERMAGLICH
TEANECK, NJ
NPI
1386603785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: NJ 25MA02477500)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
-- MATIS A. FERMAGLICH MD
865 TEANECK RD
TEANECK, NJ 07666-4513
Phone number: 201-837-0606
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Mailing Address
-- MATIS A. FERMAGLICH MD
15-01 BROADWAY, RT 4 WEST SUITES 1 & 3
FAIR LAWN, NJ 07410
Phone number: 201-791-4544
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