Organization
REAL HOUSE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M. ANGLIN (SENIOR DIRECTOR)
(973) 746-2400
Entity
Organization
Contact information
Practice address
95 GROVE ST, MONTCLAIR, NJ 07042-4005
(973) 746-2400
(973) 746-8551
Mailing address
60 HAZELWOOD RD, BLOOMFIELD, NJ 07003-5112
(973) 746-2400
(973) 746-8551
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121851
PROVIDER NUMBER
NJ
Enumeration date
07/03/2007
Last updated
08/22/2020
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