Organization
OPTIMUM VITALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY PARRA (ASSISTANT MANAGER)
(973) 427-2711
Entity
Organization
Contact information
Practice address
535 HIGH MOUNTAIN RD, SUITE 110, NORTH HALEDON, NJ 07508-2665
(973) 427-2711
(973) 427-2770
Mailing address
535 HIGH MOUNTAIN ROAD, SUITE 110, NORTH HALEDON, NJ 07508
(973) 427-2711
(973) 427-2770
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA06252500
NJ
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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