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Organization

FREDERICK A. DEPAOLA, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHARLOTTE WHITE (MANAGER)
(732) 528-4370
Entity
Organization

Contact information

Practice address
2444 HIGHWAY 34, MANASQUAN, NJ 08736-1818
(732) 528-4407
(732) 528-4525
Mailing address
2444 HIGHWAY 34, MANASQUAN, NJ 08736-1818
(732) 528-4407
(732) 528-4525

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA04579600
NJ

Other

Enumeration date
09/08/2010
Last updated
09/29/2011
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