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Sam Depasupil, PTA
NPI 1720467020 · on the registry since 2015
Practice
- Address
- 261 Eagle Ave
New Milford, NJ 07646 - Phone
- (201) 851-2239
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey