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1851392252
KEVIN R BASRALIAN
HACKENSACK, NJ
NPI
1851392252
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NJ 25MA04654700)
Enumeration Date
2005-08-09
Last Update Date
2014-12-16
Business Address
Dr. KEVIN R BASRALIAN M.D.
360 ESSEX ST SUITE 403
HACKENSACK, NJ 07601-8550
Phone number: 551-996-8090
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Mailing Address
Dr. KEVIN R BASRALIAN M.D.
360 ESSEX ST SUITE 403
HACKENSACK, NJ 07601-8550
Phone number: 551-996-8090
Copy
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