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1417994120
LEONARD MICHAEL BALACCO
HOBOKEN, NJ
NPI
1417994120
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MA41027)
Enumeration Date
2006-06-01
Last Update Date
2011-10-24
Business Address
-- LEONARD MICHAEL BALACCO M.D.
108 WASHINGTON ST
HOBOKEN, NJ 07030-4659
Phone number: 201-656-5688
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Mailing Address
-- LEONARD MICHAEL BALACCO M.D.
108 WASHINGTON ST
HOBOKEN, NJ 07030-4659
Phone number: 201-656-5688
Copy
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