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1912311960
ENJ MEDICAL PC
LAWRENCE, NY
NPI
1912311960
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Entity Type
Organization
Authorized Contact
DAVID MARTIN JACOBSON
Owner
347-262-2427
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 267245)
Enumeration Date
2014-06-18
Last Update Date
2014-08-11
Business Address
ENJ MEDICAL PC
275 ROCKAWAY TPKE SUITE A
LAWRENCE, NY 11559-1272
Phone number: 516-400-9302
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Mailing Address
ENJ MEDICAL PC
206 AVERY PL
CEDARHURST, NY 11516-1805
Phone number: 347-262-2427
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