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Individual

LENNY ROMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 NORMAL AVE, MONTCLAIR, NJ 07043-1624
(973) 655-4000
Mailing address
1118 ADAMS ST APT E205, HOBOKEN, NJ 07030-9224

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NJ

Other

Enumeration date
11/17/2022
Last updated
11/17/2022
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