RANDAL STUART FEDORUK

NEWARK, NJ
NPI1437360575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: NJ  TR4600247500)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
Mr. RANDAL STUART FEDORUK OT
65 BERGEN ST
NEWARK, NJ 07107-3001
Phone number: 973-972-0186
Mailing Address
Mr. RANDAL STUART FEDORUK OT
530 MOOSE HILL RD
GUILFORD, CT 06437-4337
Phone number: 917-279-0906
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