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1922757152
THOMAS MARIANO DISANTO
HACKENSACK, NJ
NPI
1922757152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
-- THOMAS MARIANO DISANTO MD
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
-- THOMAS MARIANO DISANTO MD
551 RAMONA AVE
STATEN ISLAND, NY 10309-2323
Phone number: 718-673-1639
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