Organization
REAL HOUSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M ANGLIN (SENIOR DIRECTOR)
(973) 746-2400
Entity
Organization
Contact information
Practice address
95 GROVE ST, MONTCLAIR, NJ 07042-4005
(973) 746-2400
Mailing address
95 GROVE STREET, MONCLAIR, NJ 07042-4005
(973) 746-2400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2000081-05
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079782
—
NJ
Enumeration date
06/07/2007
Last updated
08/20/2007
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