Organization
SPARK DEMENTIA CARE OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JUSTIN COFFEY MD (PRINCIPAL)
(734) 545-0922
Entity
Organization
Contact information
Practice address
224 W 35TH ST STE 500, #2031, NEW YORK, NY 10001
(332) 273-0300
(833) 438-0301
Mailing address
224 W 35TH ST STE 500, #2031, NEW YORK, NY 10001
(332) 273-0300
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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