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Organization

EMBODIED TRANSCENDENCE EXISTENCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAWAD MANZOOR MD (OWNER)
(201) 266-3942
Entity
Organization

Contact information

Practice address
525 WANAQUE AVE, POMPTON LAKES, NJ 07442-1843
(201) 266-3942
(980) 206-5546
Mailing address
525 WANAQUE AVE, POMPTON LAKES, NJ 07442-1843
(201) 266-3942
(980) 206-5546

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
11/25/2022
Last updated
01/02/2025
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