Organization
IDLENESS ELIMINATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMEON MERTYL (OWNER)
(908) 242-2810
Entity
Organization
Contact information
Practice address
826 WESTFIELD AVE, SUITE 1, ELIZABETH, NJ 07208-1225
(908) 242-2810
(888) 422-1173
Mailing address
826 WESTFIELD AVE, SUITE 1, ELIZABETH, NJ 07208-1225
(908) 242-2810
(888) 422-1173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
152W00000X
Optometrist
—
—
183500000X
Pharmacist
Primary
—
—
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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