Organization
NEURO DIAGNOSTIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SCHWARTZ D.O. (PRESIDENT)
(866) 943-8682
Entity
Organization
Contact information
Practice address
1 BRIDGE PLZ N, STE 275, FORT LEE, NJ 07024-7101
(866) 943-8682
(561) 470-0339
Mailing address
18945 CONCERTO DR, BOCA RATON, FL 33498-4870
(866) 943-8682
(561) 470-0339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06381000
NJ
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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