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Organization

SILVER STAR HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEXTER AHUMADA TRABADO MSPT, DPT, GCS (OWNER)
(347) 781-2617
Entity
Organization

Contact information

Practice address
9019 WALL ST, APT 5I, NORTH BERGEN, NJ 07047-7015
(201) 293-2168
Mailing address
9019 WALL ST, APT 5I, NORTH BERGEN, NJ 07047-7015
(201) 293-2168

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0450076673
NJ

Other

Enumeration date
07/14/2016
Last updated
07/14/2016
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