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Organization
THE CLEANSING CLINIC PA
Active
Organization
THE CLEANSING CLINIC PA
Active
Other names
The Cleansing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEWANDOWSKI D.O. (MEDICAL DIRECTOR)
(973) 313-0028
Entity
Organization
Contact information
Practice address
90 MILLBURN AVE, SUITE 201, MILLBURN, NJ 07041-1945
(973) 313-0028
(973) 313-0062
Mailing address
90 MILLBURN AVE, SUITE 201, MILLBURN, NJ 07041-1945
(973) 313-0028
(973) 313-0062
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MB57910
NJ
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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