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1649408956
MANOJ PUTHIYATHU
PARAMUS, NJ
NPI
1649408956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NJ 25MA09523700)
Enumeration Date
2009-06-24
Last Update Date
2015-07-30
Business Address
-- MANOJ PUTHIYATHU
230 E RIDGEWOOD AVE
PARAMUS, NJ 07652-4142
Phone number: 201-967-4132
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Mailing Address
-- MANOJ PUTHIYATHU
61 LINDEN ST APT C9
HACKENSACK, NJ 07601-3534
Phone number:
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