Organization
FELICIAN UNIVERSITY
Active
Other names
Felician Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MOUZON BASS III (ADMINISTRATOR/AGENT)
(972) 367-4845
Entity
Organization
Contact information
Practice address
1 FELICIAN WAY, RUTHERFORD, NJ 07070-1977
(201) 559-3333
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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