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1720418049
S MOOSA JAFFARI MDPA
LAKEWOOD, NJ
NPI
1720418049
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Entity Type
Organization
Authorized Contact
GAIL GALLAGHER
Office Manager
732-367-7707
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NJ 25MA02930800)
Enumeration Date
2013-11-22
Last Update Date
2013-11-22
Business Address
S MOOSA JAFFARI MDPA
814 RIVER AVE
LAKEWOOD, NJ 08701-5278
Phone number: 732-367-7707
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Mailing Address
S MOOSA JAFFARI MDPA
814 RIVER AVE
LAKEWOOD, NJ 08701-5278
Phone number: 732-367-7707
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