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1386824308
JESUS ALFONSO
NORTH BERGEN, NJ
NPI
1386824308
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Entity Type
Organization
Authorized Contact
JESUS ALFONSO
Owner
201-330-8747
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA05064100)
Enumeration Date
2007-11-07
Last Update Date
2007-11-07
Business Address
JESUS ALFONSO
7907 KENNEDY BLVD
NORTH BERGEN, NJ 07047-4137
Phone number: 201-330-8747
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Mailing Address
JESUS ALFONSO
7907 KENNEDY BLVD
NORTH BERGEN, NJ 07047-4137
Phone number: 201-330-8747
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