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Organization
SALVATORE M. LARAIA, MD, PA
Active
Organization
SALVATORE M. LARAIA, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DENNIS HERNANDEZ MD (PHYSICIAN)
(201) 944-7676
Entity
Organization
Contact information
Practice address
1625 ANDERSON AVE, SUITE 304, FORT LEE, NJ 07024-2748
(201) 944-7676
(201) 944-9452
Mailing address
1625 ANDERSON AVE, SUITE 304, FORT LEE, NJ 07024-2748
(201) 944-7676
(201) 944-9452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA07477500
NJ
Other
Enumeration date
09/21/2007
Last updated
10/11/2007
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