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Organization
DAVIS INTEGRATED MEDICINE LLC
Active
Organization
DAVIS INTEGRATED MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODI THOMAS MD (PHYSICAN)
(973) 839-1003
Entity
Organization
Contact information
Practice address
309 ORANGE RD, MONTCLAIR, NJ 07042-4451
(973) 839-1003
(973) 839-3653
Mailing address
309 ORANGE RD, MONTCLAIR, NJ 07042-4451
(973) 839-1003
(973) 839-3653
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07295900
NJ
Other
Enumeration date
03/29/2014
Last updated
03/29/2014
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