Organization
STILLED WATERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MULLIGAN (REGISTERED AGENT)
(551) 247-6441
Entity
Organization
Contact information
Practice address
142 IRVING ST, MIDLAND PARK, NJ 07432-1504
(551) 247-6441
Mailing address
142 IRVING ST, MIDLAND PARK, NJ 07432-1504
(551) 247-6441
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/11/2024
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