Organization
COMPLETE NEUROLOGICAL CARE OF NJ PC
Active
Organization
COMPLETE NEUROLOGICAL CARE OF NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN I EDGAR M.D. (OWNER)
(212) 349-2787
Entity
Organization
Contact information
Practice address
124 GREGORY AVE, SUITE 203, PASSAIC, NJ 07055-4856
(212) 349-2787
Mailing address
308 MYERS AVE, HASBROUCK HEIGHTS, NJ 07604-2236
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
25MA09993200
NJ
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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