Organization
MEDICAL INTERVENTION FOR INDIVIDUALS ADDICTED INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES J MANLANDRO DO (OWNER)
(609) 593-3076
Entity
Organization
Contact information
Practice address
408 BETHEL RD, BLDG B SUITE 2, SOMERS POINT, NJ 08244-2172
(609) 593-3076
(609) 861-5373
Mailing address
408 BETHEL RD, BLDG B SUITE 2, SOMERS POINT, NJ 08244-2172
(609) 593-3076
(609) 861-5373
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
208D00000X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2905809
—
NJ
Enumeration date
12/20/2006
Last updated
08/22/2020
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