Organization
MENTOR ABI
Active
Organization
MENTOR ABI
Active
Other names
Neurorestorative New Jersey
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO P CRUZ (CHIEF FINANCIAL OFFICER)
(781) 708-9444
Entity
Organization
Contact information
Practice address
115A LEEDS POINT RD, GALLOWAY, NJ 08205-4211
(781) 708-7444
Mailing address
980 WASHINGTON ST STE 306, DEDHAM, MA 02026-6797
(781) 708-7444
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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