Organization
SENSORYPG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI GROSSI O.T.R (OWNER)
(732) 972-8900
Entity
Organization
Contact information
Practice address
704 GINESI DR, MORGANVILLE, NJ 07751-1249
(732) 972-8900
(732) 972-8909
Mailing address
704 GINESI DR, MORGANVILLE, NJ 07751-1249
(732) 972-8900
(732) 972-8909
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00587900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134364862
BLUECROSS
NJ
Enumeration date
06/20/2013
Last updated
06/20/2013
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