Organization
MS COMPREHENSIVE CARE CENTER
Active
Other names
Gimbel Multiple Sclerosis Comp care Center as Holy Name
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KENNEDY (VP OF FINANCE)
(801) 833-7016
Entity
Organization
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
(201) 833-4486
Mailing address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
(201) 833-4486
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
70270
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042501
—
NJ
Enumeration date
11/08/2006
Last updated
02/07/2014
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