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Individual

MR. STANISLAV LANDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, MSN, APP

Contact information

Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-2357
Mailing address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-2357

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00310000
NJ

Other

Enumeration date
11/12/2010
Last updated
11/12/2010
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