Organization
R M C N J PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOV JOHANAN RAND (OWNER-PHYSICIAN)
(973) 731-8112
Entity
Organization
Contact information
Practice address
667 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2177
(973) 731-8112
Mailing address
667 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2177
(973) 731-8112
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
25MA05832500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5444128
AETNA PIN
—
05
—
6543006
—
NJ
01
—
P2823540
OXFORD PIN
—
Enumeration date
01/09/2007
Last updated
08/22/2020
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