Organization
MAVEN NORTHEAST BERGEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR LEE (PT)
(973) 800-0010
Entity
Organization
Contact information
Practice address
201 BROAD AVE # 2W, PALISADES PARK, NJ 07650-1508
(201) 977-4441
Mailing address
PO BOX 125, PARAMUS, NJ 07653-0125
(973) 800-0010
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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