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Organization

PATISH DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINA G RUGOVA (BILLING MANAGER)
(973) 424-0080
Entity
Organization

Contact information

Practice address
23 BRANFORD PL, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088
Mailing address
23 BRANFORD PL, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00298800
NJ

Other

Enumeration date
10/27/2011
Last updated
10/27/2011
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