Individual
NELSON AVBADEVBORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 MILL ST, UNIT H3, BELLEVILLE, NJ 07109-5318
(973) 759-1494
(973) 759-0557
Mailing address
543 FOREST AVE, LYNDHURST, NJ 07071-2437
(347) 665-5629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00292100
NJ
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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