NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1902105463 | ALTABAQCHALI | SAYF | M |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |
1043499460 | GOWD | PAMPANA |   |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |
1154580694 | KAPLE | RYAN | K |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |
1548493323 | PASALA | TILAK |   |   | 30 PROSPECT AVE | HACKENSACK | NJ | 076011915 |