Organization
THE SPA AT RANDOLPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISON MCHALE (OWNER)
(973) 895-5224
Entity
Organization
Contact information
Practice address
10 W HANOVER AVE, SUITE 106, RANDOLPH, NJ 07869-4221
(973) 895-7797
(973) 895-5507
Mailing address
10 W HANOVER AVE, RANDOLPH, NJ 07869-4221
(973) 895-7797
(973) 895-5507
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
32WD02245000
NJ
Other
Enumeration date
11/09/2008
Last updated
11/09/2008
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