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1588247027
REBECCA BAZELA
ENGLEWOOD, NJ
NPI
1588247027
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00644000)
Enumeration Date
2021-05-03
Last Update Date
2021-10-07
Business Address
REBECCA BAZELA
350 ENGLE ST
ENGLEWOOD, NJ 07631-1808
Phone number: 201-403-1110
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Mailing Address
REBECCA BAZELA
165 WALNUT ST
NORTHVALE, NJ 07647-2107
Phone number: 201-403-5110
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