Organization
SMART PREVENTATIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HOOVER (OFFICER)
(201) 679-3977
Entity
Organization
Contact information
Practice address
158 LINCOLN PL, GARFIELD, NJ 07026
(201) 679-3977
Mailing address
158 LINCOLN PL, GARFIELD, NJ 07026-1843
(201) 679-3977
Taxonomy
Speciality
Code
Description
License number
State
335U00000X
Organ Procurement Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156763258
—
WI
Enumeration date
10/19/2016
Last updated
10/19/2016
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