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Organization

REVITALIZING REMEDIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FIORELLA PARADISI APN (OWNER/CLINICIAN PROVIDER)
(201) 727-3241
Entity
Organization

Contact information

Practice address
52 NEWTON SPARTA RD STE 1, ANDOVER, NJ 07860-2723
(201) 727-3241
(201) 727-3241
Mailing address
52 NEWTON SPARTA RD, NEWTON, NJ 07860-2723
(201) 727-3241
(201) 727-3241

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
163W00000X
Registered Nurse
2084P0800X
Psychiatry Physician
246RP1900X
Phlebotomy Technician
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
11/09/2021
Last updated
11/09/2021
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