Individual
DR. GIAN CARLO OCAMPO DE LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 WILSHIRE DR, UNION, NJ 07083-5236
(908) 851-4567
Mailing address
1305 WILSHIRE DR, UNION, NJ 07083-5236
(908) 851-4567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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