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Organization

MGM MEDICAL SERVICES LLC

Active
Other names
MGM Ketamine Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHERYL MALINA MD (MD)
(646) 345-1998
Entity
Organization

Contact information

Practice address
690 KINDERKAMACK RD STE 103, ORADELL, NJ 07649-1524
(201) 267-4785
Mailing address
59 GLENORCHY PL, NEW ROCHELLE, NY 10804-3512
(646) 345-1998

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
11/18/2021
Last updated
11/18/2021
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