Organization
HEALTHY LIVING FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARDY VALENTIN MD (MEDICAL DIRECTOR)
(862) 955-3232
Entity
Organization
Contact information
Practice address
84 SANFORD ST, EAST ORANGE, NJ 07018-1927
(862) 955-3232
(862) 772-4820
Mailing address
84 SANFORD ST, EAST ORANGE, NJ 07018-1927
(862) 955-3232
(862) 772-4820
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
25MA08826900
NJ
207Q00000X
Family Medicine Physician
Primary
25MP00192500
NJ
Other
Enumeration date
05/14/2015
Last updated
07/27/2016
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