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Organization
PJM INC
Active
Organization
PJM INC
Active
Other names
Fitness Unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL J MADURI (PRESIDENT)
(617) 698-0260
Entity
Organization
Contact information
Practice address
364 GRANITE AVE, MILTON, MA 02186-5025
(617) 698-0260
(617) 698-6162
Mailing address
364 GRANITE AVE, MILTON, MA 02186-5025
(617) 698-0260
(617) 698-6162
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2449
LDN
MA
01
—
3015
LDN
MA
Enumeration date
08/15/2013
Last updated
08/15/2013
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