Organization
HABIT OPCO
Active
Organization
HABIT OPCO
Active
Other names
New Street
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT APRUZZESE (VICE PRESIDENT)
(781) 356-8017
Entity
Organization
Contact information
Practice address
57 NEW ST, IRVINGTON, NJ 07111-2444
(973) 373-2010
Mailing address
639 GRANITE ST, BRAINTREE, MA 02184-5366
(781) 356-8017
(781) 356-8052
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2000004
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191272
—
NJ
Enumeration date
04/21/2009
Last updated
04/21/2009
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