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Individual

MR. DAVID MADERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
205 ROBIN RD STE 118, PARAMUS, NJ 07652-1424
(201) 225-1511
Mailing address
405 PARK AVE, RUTHERFORD, NJ 07070-2665
(929) 243-6020

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00349300
NJ

Other

Enumeration date
02/04/2019
Last updated
02/04/2019
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