EDILBERTO O ESTOMO

BERGENFIELD, NJ
NPI1720138191
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00520400)
Enumeration Date2007-01-10
Last Update Date2008-02-22
Business Address
-- EDILBERTO O ESTOMO
54 E MAIN ST
BERGENFIELD, NJ 07621
Phone number: 201-874-9084
Mailing Address
-- EDILBERTO O ESTOMO
PO BOX 29
EDGEWATER, NJ 07020
Phone number: 973-361-6054