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STEPHANIE DOSSANTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-5454
Mailing address
17 RIVER RD APT D, NUTLEY, NJ 07110-3465
(973) 662-0186

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07427800
NJ

Other

Enumeration date
07/12/2006
Last updated
07/08/2007
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