Organization
RIVERFRONT NEUROLOGICAL ASSOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE YANNETTE CMRS (BILLING MANAGER)
(201) 837-7003
Entity
Organization
Contact information
Practice address
725 RIVER RD, STE 106, EDGEWATER, NJ 07020-1171
(201) 943-2273
(201) 215-9548
Mailing address
725 RIVER RD, STE 106, EDGEWATER, NJ 07020-1171
(201) 943-2273
(201) 215-9548
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
25MA08061700
NJ
2084N0400X
Neurology Physician
Primary
25MA08113500
NJ
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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