Individual
EDILBERTO O ESTOMO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 E MAIN ST, BERGENFIELD, NJ 07621
(201) 874-9084
(973) 909-7656
Mailing address
PO BOX 29, EDGEWATER, NJ 07020
(973) 361-6054
(973) 361-0272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00520400
NJ
Other
Enumeration date
01/10/2007
Last updated
02/22/2008
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