OSTEOPATHIC MEDICAL CARE CENTER
Ambulatory Health at Broadway, Fair Lawn, NJ

License number
New Jersey 25MB06860100
Category
Ambulatory Health
Type
Primary Care
Owner
Name: ALEKSANDR MARTIROSOV
Title: DO
Phone: (201) 475-5006
Address
Address
39-40 Broadway, Fair Lawn, NJ 07410
National Provider ID: 1730363250
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OSTEOPATHIC MEDICAL CARE CENTER PC

Fair Lawn, NJ

Registration:
May 5, 2003
State ID:
0400029503
Business type:
PA

Osteopathic Medical Care Center

Fair Lawn, NJ

Status:
Inactive
Industry:
Management Consulting Services
Phone:
(201) 475-5006 (Phone)
Addresses:
39-40 Broadway, Fair Lawn, NJ 07410
PO Box 2790, Fair Lawn, NJ 07410
Osteopathy:
Alexander Martirosov (Osteopathy)

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