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1992753883
MICHAEL JUDE LACQUA
STATEN ISLAND, NY
NPI
1992753883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: NY 192446)
Enumeration Date
2006-05-04
Last Update Date
2008-03-31
Business Address
Dr. MICHAEL JUDE LACQUA MD
2372 VICTORY BLVD
STATEN ISLAND, NY 10314-6607
Phone number: 718-761-3700
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Mailing Address
Dr. MICHAEL JUDE LACQUA MD
2372 VICTORY BLVD
STATEN ISLAND, NY 10314-6607
Phone number: 718-761-3700
Copy
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