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Individual

JEROME DORIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
224 DAVEY ST APT B, BLOOMFIELD, NJ 07003-6155
(973) 743-3183
Mailing address
224 DAVEY ST APT B, BLOOMFIELD, NJ 07003-6155
(973) 743-3183

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00960500
NJ

Other

Enumeration date
06/14/2007
Last updated
07/08/2007
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