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Individual

JOSEPH NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1461 MUNN AVE, HILLSIDE, NJ 07205-1646
(908) 943-4379
Mailing address
1461 MUNN AVE, HILLSIDE, NJ 07205-1646

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00007600
NJ

Other

Enumeration date
06/08/2018
Last updated
06/08/2018
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