Organization
GEN-TEL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R GANON DO (MEDICAL DIRECTOR)
(973) 657-2211
Entity
Organization
Contact information
Practice address
THE CENTER FOR PREVENTION AND COUNSELING/DR.GANON, 61 SPRING STREET, FIRST FLOOR, NEWTON, NJ 07860
(973) 383-4787
Mailing address
284 LAKEVIEW DR, NEWTON, NJ 07860-6857
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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