Balance Well Labs
Physical Medicine & Rehabilitation in Fair Lawn, NJ. Organization (NPI-2).
NPI number1629423124
StatusActive
Last updated in NPPESMay 3, 2016
Details
- NPI
- 1629423124
- Entity type
- Organization (NPI-2)
- Legal business name
- Balance Well Labs
- Organization subpart
- Yes
- Enumeration date
- May 3, 2016
- Last updated
- May 3, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 25ma09551100 | NJ | Yes |
Practice location
23-08 Maple AveFair Lawn, NJ 07410
Phone 201-974-4500 · Fax 201-974-4502
Mailing address
23-08 Maple AveFair Lawn, NJ 07410
Phone 201-794-4500 · Fax 201-794-4502
Authorized official
Roth Riley
Director
2017944500
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