Individual
CLENIO DEDEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 BROADWAY, LONG BRANCH, NJ 07740-7090
(908) 675-1433
Mailing address
7 SHARON DR, OCEAN, NJ 07712-3706
(908) 675-1433
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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