Gemini Total Health Clinic LLC
Exclusive Provider Organization in Orange, NJ. Organization (NPI-2).
NPI number1730328014
StatusActive
Last updated in NPPESMar 25, 2009
Details
- NPI
- 1730328014
- Entity type
- Organization (NPI-2)
- Legal business name
- Gemini Total Health Clinic LLC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2009
- Last updated
- Mar 25, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 38MC00641500 | NJ | Yes |
Practice location
439 Main StSuite 102
Orange, NJ 07050-1523
Phone 973-675-8700 · Fax 973-675-8701
Mailing address
439 Main StreetSuite 102
Orange, NJ 07050
Phone 973-675-8700 · Fax 973-675-8701
Authorized official
Kesnold Baptiste
Chiropractor
9736758700
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