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1497961114
CHRISTODOULOS A FYSENTZOU
WEST ORANGE, NJ
NPI
1497961114
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01245300)
Enumeration Date
2007-05-16
Last Update Date
2007-07-08
Business Address
-- CHRISTODOULOS A FYSENTZOU PT
622 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2994
Phone number: 973-669-0078
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Mailing Address
-- CHRISTODOULOS A FYSENTZOU PT
108 STILES ST APT. # 2
ELIZABETH, NJ 07208-1885
Phone number:
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