NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1003219155 | GALLEGOS | ANALYSA |   |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011914 |
1659875516 | HUSSEIN | SARAH |   |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |
1447606579 | MANGLICMOT | JOAN RUTH | ESPERANZA |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |
1912535840 | NICHOLS | ROYALE | MORRAY |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |
1891257820 | TAM | KENNETH |   |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |