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1811943897
LISA KAUSHAL TANK
HACKENSACK, NJ
NPI
1811943897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: NJ MA073309)
Enumeration Date
2006-05-25
Last Update Date
2007-07-08
Business Address
-- LISA KAUSHAL TANK MD
30 PROSPECT AVE DIVISION OF GERIATRICS
HACKENSACK, NJ 07601-1914
Phone number: 201-678-2994
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Mailing Address
-- LISA KAUSHAL TANK MD
30 PROSPECT AVE DIVISION OF GERIATRICS
HACKENSACK, NJ 07601-1914
Phone number: 201-678-2994
Copy
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