Organization
IV NATIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL BOKOW NP (CEO)
(646) 384-2277
Entity
Organization
Contact information
Practice address
FIVE GREENTREE CENTRE 525 ROUTE 73 NORTH, SUITE 104, MARLTON, NJ 08053
(646) 384-2277
Mailing address
61 ROCK SPRING RD, UNIT 34, STAMFORD, CT 06906-1946
(646) 384-2277
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
331L00000X
Blood Bank
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
About Stedi
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