Organization
BAYONNE PEDIATRIC THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS MAMMAS DVM (PRESIDENT)
(201) 436-0014
Entity
Organization
Contact information
Practice address
252 BROADWAY, BAYONNE, NJ 07002-2522
(201) 436-0014
(201) 436-0019
Mailing address
252 BROADWAY, BAYONNE, NJ 07002-2522
(201) 436-0014
(201) 436-0019
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
46TR00070400
NJ
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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