Individual
HOLLIS FORDE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 LEONHARDT CT, SADDLE BROOK, NJ 07663-5025
(551) 293-9199
Mailing address
44 LEONHARDT CT, SADDLE BROOK, NJ 07663-5025
(551) 293-9199
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F65733356101062
NJ
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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