Individual
DAUD OMARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 LAKE SHORE DR, LAKE HIAWATHA, NJ 07034-3015
(973) 874-3572
(973) 846-5853
Mailing address
48 LAKE SHORE DR, LAKE HIAWATHA, NJ 07034-3015
(973) 874-3572
(973) 846-5853
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
NJ
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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