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Individual

MS. DEBORAH DIANE VAPHIDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACUPUNCTURIST

Contact information

Practice address
427 BLOOMFIELD AVE, SUITE 406, MONTCLAIR, NJ 07042-3583
(973) 744-3555
Mailing address
427 BLOOMFIELD AVENUE, SUITE 406, MONTCLAIR, NJ 07042-0704
(973) 744-3555

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00056900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MZ00056900
NJ LICENSE NUMBER
NJ
Enumeration date
11/28/2007
Last updated
11/28/2007
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