Individual
MR. EDUARDO B DEANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
161B N WASHINGTON AVE, BERGENFIELD, NJ 07621-1739
(201) 387-2800
(201) 387-2248
Mailing address
12-63 GEORGE ST, FAIR LAWN, NJ 07410-1833
(201) 281-4157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01169900
NJ
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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