Individual
JUSTIN PETER VANGROUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28-04 BROADWAY, FAIR LAWN, NJ 07410-3920
(201) 791-4434
(201) 791-3423
Mailing address
28-04 BROADWAY, FAIR LAWN, NJ 07410-3920
(201) 791-4434
(201) 791-3423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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