ERNEST DEFAZIO

NUTLEY, NJ
NPI1477511707
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA03416900)
Enumeration Date2006-05-03
Last Update Date2007-07-08
Business Address
-- ERNEST DEFAZIO MD
181 FRANKLIN AVE
NUTLEY, NJ 07110-3820
Phone number: 973-667-6660
Mailing Address
-- ERNEST DEFAZIO MD
66 SOMME ST
NEWARK, NJ 07105-3612
Phone number: 973-522-0006
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