Individual
JULIUS CEAZAR VILLAROMAN PENARANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9020 WALL ST, NORTH BERGEN, NJ 07047-6011
(201) 861-4040
Mailing address
724 PROBST AVE UNIT A, FAIRVIEW, NJ 07022-1043
(201) 233-8393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TA09124200
NJ
Other
Enumeration date
11/02/2018
Last updated
01/03/2019
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