Organization
INNER VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIRA ANSELMI PHD (CLINICAL DIRECTOR)
(908) 377-1963
Entity
Organization
Contact information
Practice address
151 SUMMIT AVE, SUMMIT, NJ 07901-2813
(908) 377-1963
Mailing address
151 SUMMIT AVE, SUMMIT, NJ 07901-2813
(908) 377-1963
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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