Perform And Recover
Clinic/Center in Eatontown, NJ. Organization (NPI-2).
NPI number1225678733
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1225678733
- Entity type
- Organization (NPI-2)
- Legal business name
- Perform And Recover
- Organization subpart
- No
- Enumeration date
- Jan 13, 2020
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
749 Hope RdEatontown, NJ 07724-1432
Phone 732-455-2545
Mailing address
919 Raymere AveOcean, NJ 07712-4111
Authorized official
Nicole Tukdarian
Owner
7324552545
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