Organization
NITTN INC
Active
Other names
Fyzical Jersey City
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MASCARENHAS (MANAGER)
(201) 736-1474
Entity
Organization
Contact information
Practice address
1217 SUMMIT AVE, JERSEY CITY, NJ 07307-3138
(201) 736-1474
Mailing address
1217 SUMMIT AVE, JERSEY CITY, NJ 07307-3138
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
04/12/2021
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