Organization
PA CLINICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOANDI MARRERO (PRESIDENT)
(973) 960-4430
Entity
Organization
Contact information
Practice address
75 BLOOMFIELD AVE STE 206, DENVILLE, NJ 07834-2736
(973) 960-4430
Mailing address
75 BLOOMFIELD AVENUE SUITE 206, DENVILLE, NJ 07834
(973) 960-4430
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
10/09/2015
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