Organization · NPI-2

Brow House Studio LLC

Clinic/Center · Livingston, NJ

NPI number1922715010
StatusActive
Last updated in NPPESOct 31, 2022

Details

NPI
1922715010
Entity type
Organization (NPI-2)
Legal business name
Brow House Studio LLC
Organization subpart
No
Enumeration date
Oct 31, 2022
Certification date
Oct 29, 2022
Last updated
Oct 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2 W Northfield Rd Ste 212
Livingston, NJ 07039-3758

Phone 973-629-7797

Mailing address

3 Tanglewood Dr
Summit, NJ 07901-3120

Authorized official

Tatiane Nichols
Owner
9736297797

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