Individual
FRED ESSIBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
629 PURCE ST, HILLSIDE, NJ 07205-1716
(917) 304-3268
Mailing address
629 PURCE ST, HILLSIDE, NJ 07205-1716
(917) 304-3268
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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