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Organization
DA MEDICAL ARTS
Active
Organization
DA MEDICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK JASON ALLOWAY LCSW (CEO)
(201) 207-9243
Entity
Organization
Contact information
Practice address
305 PARK AVE, RUTHERFORD, NJ 07070-2748
(201) 207-9243
(888) 627-5578
Mailing address
305 PARK AVE, RUTHERFORD, NJ 07070-2748
(201) 207-9243
(888) 627-5578
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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