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Organization
GERIACTIVE, LLC
Active
Organization
GERIACTIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD MENDOLIA (OWNER)
(201) 644-8096
Entity
Organization
Contact information
Practice address
215 VALLEY VIEW DR, FRANKLIN LAKES, NJ 07417-1222
(201) 644-8096
Mailing address
215 VALLEY VIEW DR, FRANKLIN LAKES, NJ 07417-1222
(201) 644-8096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/02/2014
Last updated
01/16/2014
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