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Individual

MR. MANESH PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
536 RIDGE RD, CEDAR GROVE, NJ 07009-1611
(973) 857-0763
Mailing address
379 RIVER RD, EAST HANOVER, NJ 07936-3019
(973) 857-0763

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
40QB00275300
NJ

Other

Enumeration date
05/26/2011
Last updated
05/26/2011
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