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Title:
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Health Services/ Division of Public Health
Meeting Date: 4/17/2019
Purpose: Provide Services for the oversight of Pediatric Medical Protocols
Dollar Amount: $10,000.00 NOT TO EXCEED
Account No.: 01-201-27-330-100-021 CURRENT
$8,750.00 - 2019 Budget
$1,250.00 - 2020 Budget
Requisition No.: 145286
Contract No.: 1900171
Contract Basis: Other
Vendor No.: 22604
Name: Jeffrey M. Bienstock MD, d/b/a Pediatricare Associates
Address: 20-20 Fair Lawn Avenue, Fair Lawn, NJ 07410
Prepared By: GTR:lc
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