Organization
NEURO BOOST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DAWSON (DIRECTOR OF OPERATIONS)
(908) 230-9018
Entity
Organization
Contact information
Practice address
24 ELM ST APT 2C, MONTCLAIR, NJ 07042-3458
(908) 230-9018
Mailing address
24 ELM ST APT 2C, MONTCLAIR, NJ 07042-3458
(908) 230-9018
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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