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PERICLES JOHN LANTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
777 TERRACE AVENUE, SUITE 403, HASBROUCK HEIGHTS, NJ 07604
(201) 288-3777
Mailing address
777 TERRACE AVENUE, SUITE 403, HASBROUCK HEIGHTS, NJ 07604
(201) 288-3777

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NY230473
NY

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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