BENJAMIN FAN

LAKE COMO, NJ
NPI1932561875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA01655100)
Enumeration Date2016-03-21
Last Update Date2016-03-21
Business Address
-- BENJAMIN FAN PT, DPT
1719 MAIN STREET
LAKE COMO, NJ 07719
Phone number: 732-894-9200
Mailing Address
-- BENJAMIN FAN PT, DPT
16 OVERHILL ROAD
EAST BRUNSWICK, NJ 08816
Phone number: 732-543-4413
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