KASAN LANE

IRVINGTON, NJ
NPI1912416033
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-09-20
Last Update Date2017-09-20
Business Address
KASAN LANE
40 TREMONT TER
IRVINGTON, NJ 07111-3710
Phone number: 973-609-0207
Mailing Address
KASAN LANE
40 TREMONT TER
IRVINGTON, NJ 07111-3710
Phone number: 973-609-0207
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