Organization
NEUROPHYSIOLOGY LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN R COLICCHIO M.D. (PRESIDENT)
(732) 774-8282
Entity
Organization
Contact information
Practice address
1944 CORLIES AVE, STE 206, NEPTUNE, NJ 07753-4862
(732) 774-8282
Mailing address
1944 CORLIES AVE, STE 206, NEPTUNE, NJ 07753-4862
(732) 774-8282
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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