JULIE THOMAS KIDANGAN

BLOOMFIELD, NJ
NPI1437470119
Former NameJULIE M THOMAS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  25MB09393100)
Enumeration Date2010-06-17
Last Update Date2017-04-25
Business Address
-- JULIE THOMAS KIDANGAN DO
1310 BROAD ST
BLOOMFIELD, NJ 07003-3010
Phone number: 973-338-0935
Mailing Address
-- JULIE THOMAS KIDANGAN DO
PO BOX 419430
BOSTON, MA 02241-9430
Phone number: 201-666-3900
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