Individual
MR. JOHN RICHARD ALBANESE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, MPA
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(973) 996-5492
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(973) 996-5492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00274600
NJ
Other
Enumeration date
10/25/2011
Last updated
03/11/2013
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