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1417012337
GREGORY MICHAEL FERNANDES
PASSAIC, NJ
NPI
1417012337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: NJ 25MA03967600)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
Dr. GREGORY MICHAEL FERNANDES M.D.,
ST MARYS HOSPITAL 211 PENNINGTON AVE
PASSAIC, NJ 07055
Phone number: 973-470-3095
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Mailing Address
Dr. GREGORY MICHAEL FERNANDES M.D.,
8 HUFF RD
WAYNE, NJ 07470-2932
Phone number: 973-696-1140
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