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Individual

DOLORES JEAN LEW SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
703 MAIN ST., PATERSON, NJ 07503
(973) 754-2240
(973) 754-2244
Mailing address
2 CONVENT RD, KELLIGAR HOUSE, MORRISTOWN, NJ 07960-6923
(973) 290-5324

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP000109
NJ

Other

Enumeration date
01/16/2007
Last updated
07/08/2007
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