Organization
FLEMINGTON IONM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN GREMILLION (ADMINISTRATOR)
(516) 404-7717
Entity
Organization
Contact information
Practice address
731 ALEXANDER RD STE 200, PRINCETON, NJ 08540-6345
(844) 856-1456
(888) 289-5601
Mailing address
731 ALEXANDER RD STE 200, PRINCETON, NJ 08540-6345
(844) 856-1456
(888) 289-5601
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
25MA079465500
NJ
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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