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1396798120
WATUTANTRIGE TAKSHAN DEALWIS
RIDGEWOOD, NJ
NPI
1396798120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NJ 25MA04286900)
Enumeration Date
2006-05-19
Last Update Date
2011-11-15
Business Address
Dr. WATUTANTRIGE TAKSHAN DEALWIS M.D.
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450-2726
Phone number: 201-447-8586
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Mailing Address
Dr. WATUTANTRIGE TAKSHAN DEALWIS M.D.
71 BERKELY PLACE
ALPINE, NJ 07620
Phone number: 201-750-1907
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