Balance And Memory Medical LLC
Internal Medicine in Fair Lawn, NJ. Organization (NPI-2).
NPI number1033432992
StatusActive
Last updated in NPPESMar 8, 2010
Details
- NPI
- 1033432992
- Entity type
- Organization (NPI-2)
- Legal business name
- Balance And Memory Medical LLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2010
- Last updated
- Mar 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 225100000X | Physical Therapist | – | – | |
| 231H00000X | Audiologist | – | – |
Practice location
14-23 River RdFair Lawn, NJ 07410-1240
Phone 201-703-0600
Mailing address
14-23 River RdFair Lawn, NJ 07410-1240
Phone 201-703-0600
Authorized official
Morris Tilson
Managing Member
2017030600
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