Organization
INTEGRATIVE REHABILITATION ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA RUSLI DO (OWNER)
(732) 266-7963
Entity
Organization
Contact information
Practice address
155 HAZEL ST, CLIFTON, NJ 07011-3423
(973) 253-5255
Mailing address
120 E MAIN ST, SUITE 109, RAMSEY, NJ 07446-1925
(732) 266-7963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB09133500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB09133500
LICENSE
NJ
Enumeration date
01/20/2015
Last updated
07/05/2016
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