Organization
GORGEOSO LLC
Active
Other names
Average Joe's Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI L DRUZBA (VICE PRESIDENT)
(518) 381-9756
Entity
Organization
Contact information
Practice address
90 W CAMPBELL RD, ROTTERDAM, NY 12306-6847
(518) 377-5637
Mailing address
90 W CAMPBELL RD, ROTTERDAM, NY 12306-6847
(518) 377-5637
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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