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1780779702
RUSSELL FERSTANDIG
BRICK, NJ
NPI
1780779702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NJ 25MA03504800)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
-- RUSSELL FERSTANDIG 25MA03504800
74 BRICK BLVD SUITE 117, BLDG 4
BRICK, NJ 08723-7984
Phone number: 732-920-9050
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Mailing Address
-- RUSSELL FERSTANDIG 25MA03504800
74 BRICK BLVD SUITE 117, BLDG 4
BRICK, NJ 08723-7984
Phone number: 732-920-9050
Copy
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