Organization
NEUROPHYSIOLOGIC INTERPRETIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS J CRUZ M.D. (OWNER)
(973) 882-3456
Entity
Organization
Contact information
Practice address
700 US HIGHWAY 46, SUITE 420, FAIRFIELD, NJ 07004-1591
(973) 882-3456
(973) 882-3450
Mailing address
700 US HIGHWAY 46, SUITE 420, FAIRFIELD, NJ 07004-1591
(973) 882-3456
(973) 882-3450
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2565911
NY
Other
Enumeration date
09/28/2010
Last updated
04/22/2015
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