Individual
MARIO PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
571 PARK ST, MONTCLAIR, NJ 07043-2027
(973) 495-4322
(888) 912-7480
Mailing address
571 PARK ST, MONTCLAIR, NJ 07043-2027
(973) 783-4663
(888) 912-7480
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
HP0140500
NJ
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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