Organization
NEXGEN BIOLOGICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON M KOTLYARSKY (OWNER)
(201) 403-5673
Entity
Organization
Contact information
Practice address
164 ENGLE ST, TENAFLY, NJ 07670-2756
(201) 403-5673
Mailing address
164 ENGLE ST, TENAFLY, NJ 07670-2756
(201) 403-5673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/22/2018
Last updated
06/03/2019
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