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1477988061
ROGER H AVECILLAS
PARAMUS, NJ
NPI
1477988061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01504600)
Enumeration Date
2013-09-13
Last Update Date
2013-09-13
Business Address
-- ROGER H AVECILLAS DPT
1 WEST RIDGEWOOD AVE, SUITE 104
PARAMUS, NJ 07652
Phone number: 201-652-1415
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Mailing Address
-- ROGER H AVECILLAS DPT
11 EAGLE ROCK AVE
EAST HANOVER, NJ 07936
Phone number: 973-887-9000
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