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1417643842
BLOSSOM NP IN PSYCHIATRY HEALTH PLL
FAIR LAWN, NJ
NPI
1417643842
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Entity Type
Organization
Authorized Contact
DALIYA ANOO CHANDROTH
Owner
201-214-0400
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date
2023-04-18
Last Update Date
2023-04-18
Business Address
BLOSSOM NP IN PSYCHIATRY HEALTH PLL
15-01 BROADWAY STE 24
FAIR LAWN, NJ 07410-6006
Phone number: 833-325-6766
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Mailing Address
BLOSSOM NP IN PSYCHIATRY HEALTH PLL
15-01 BROADWAY STE 24
FAIR LAWN, NJ 07410-6006
Phone number: 833-325-6766
Copy
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