Organization
BALANCE AND MEMORY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS TILSON MD (MANAGING MEMBER)
(201) 703-0600
Entity
Organization
Contact information
Practice address
14-23 RIVER RD, FAIR LAWN, NJ 07410-1240
(201) 703-0600
Mailing address
14-23 RIVER RD, FAIR LAWN, NJ 07410-1240
(201) 703-0600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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