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MONTCLAIR, NJ
NPI1649533126
Entity TypeOrganization
Authorized ContactJUAN OVALLES
President
917-292-7409
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  023351)
Enumeration Date2012-06-20
Last Update Date2012-06-20
Business Address
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69 ALEXANDER AVE
MONTCLAIR, NJ 07043
Phone number: 917-292-7409
Mailing Address
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69 ALEXANDER AVE
MONTCLAIR, NJ 07043-2629
Phone number: