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Organization
PHMD NEURO MONITORING LLC
Active
Organization
PHMD NEURO MONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVELL SCOTT MD (OWNER)
(914) 376-6100
Entity
Organization
Contact information
Practice address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(914) 376-6100
Mailing address
1084 MAIN AVE, CLIFTON, NJ 07011-2330
(914) 376-6100
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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