Organization
NEURALWATCH NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY DAVIS M.D. (OWNER)
(800) 638-7564
Entity
Organization
Contact information
Practice address
812 AVIS DR, ANN ARBOR, MI 48108-9649
(800) 638-7564
(866) 634-2766
Mailing address
812 AVIS DR, ANN ARBOR, MI 48108-9649
(800) 638-7564
(866) 634-2766
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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