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1902876873
LAWRENCE V BOSCAINO
CEDAR GROVE, NJ
NPI
1902876873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00234300)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
LAWRENCE V BOSCAINO PTA
194 2ND AVE
CEDAR GROVE, NJ 07009-1141
Phone number: 973-256-0330
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Mailing Address
LAWRENCE V BOSCAINO PTA
194 2ND AVE
CEDAR GROVE, NJ 07009-1141
Phone number: 973-256-0330
Copy
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