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Organization
CANDLELIGHTING MEDICAL LLC
Active
Organization
CANDLELIGHTING MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE KINNEY (DIRECTOR OF CANDLELIGHT)
(973) 414-8865
Entity
Organization
Contact information
Practice address
404 CENTRAL AVE, SUITE:1, EAST ORANGE, NJ 07018-2529
(973) 414-8865
(973) 672-2608
Mailing address
404 CENTRAL AVENUE, SUITE:1, EAST ORANGE, NJ 07017
(973) 414-8865
(973) 672-2608
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA06081600
NJ
Other
Enumeration date
11/02/2006
Last updated
09/12/2007
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