Organization
NEW LIFE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZARINA MANDELBLAT M.D (PRESIDENT)
(718) 892-6141
Entity
Organization
Contact information
Practice address
263 HILLSIDE AVE, NUTLEY, NJ 07110-1180
(732) 271-8010
Mailing address
PO BOX 351154, BROOKLYN, NY 11235-8954
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07867700
NJ
Other
Enumeration date
05/12/2006
Last updated
01/31/2008
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