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1902029242
MICHAEL FORMISANO
TEANECK, NJ
NPI
1902029242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01081900)
Enumeration Date
2007-04-11
Last Update Date
2023-07-14
Business Address
Dr. MICHAEL FORMISANO PT, DPT, OCS
1029 TEANECK RD STE 2E
TEANECK, NJ 07666-4514
Phone number: 551-246-9340
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Mailing Address
Dr. MICHAEL FORMISANO PT, DPT, OCS
3-18 VIRGINIA DR
FAIR LAWN, NJ 07410-4727
Phone number: 201-887-2409
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