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Individual

ROMAN GONT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CHIROPRACTOR

Contact information

Practice address
13-51 B RIVER RD, FAIR LAWN, NJ 07410
(201) 398-0020
(201) 398-0029
Mailing address
13-51 B RIVER RD, FAIR LAWN, NJ 07410
(201) 398-0020
(201) 398-0029

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00573700
NJ

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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