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Individual

JOHN POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
83 SUMMIT AVE, HACKENSACK, NJ 07601-1262
(201) 646-0100
(201) 646-0600
Mailing address
83 SUMMIT AVE, HACKENSACK, NJ 07601-1262
(201) 646-0100
(201) 646-0600

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04883500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4860306
NJ
Enumeration date
07/28/2006
Last updated
07/08/2007
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