Organization
NORTH JERSEY ELECTRODIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO LOPEZ (MANAGER)
(347) 378-8869
Entity
Organization
Contact information
Practice address
1187 MAIN AVE STE 1D, CLIFTON, NJ 07011-2252
(473) 788-8693
(888) 373-2114
Mailing address
PO BOX 7036, WEST ORANGE, NJ 07052-7036
(347) 378-8869
(888) 373-2114
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
25MA07863200
NJ
Other
Enumeration date
12/10/2013
Last updated
01/29/2025
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