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Individual

ALESSANDRO CERCONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.E.

Contact information

Practice address
47 RYLE PARK AVE, WOODLAND PARK, NJ 07424-2527
(973) 321-2777
Mailing address
47 RYLE PARK AVE, WOODLAND PARK, NJ 07424-2527

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
13VH06994400
NJ
171WH0202X
Home Modifications Contractor
Primary
13VH06994400
NJ

Other

Enumeration date
08/28/2015
Last updated
08/28/2015
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