Organization
PRO STAFF INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MAFFUCCI (MANAGING MEMBER)
(973) 424-7088
Entity
Organization
Contact information
Practice address
265 FRANKLIN AVE, NUTLEY, NJ 07110-2712
(973) 661-1207
Mailing address
265 FRANKLIN AVE, NUTLEY, NJ 07110-2712
(973) 661-1207
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2014
Last updated
10/04/2016
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