Organization
INNOVATIONS MED SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA R. DELACRUZ-SOLANO (DIRECTOR OF PATIENT SERVICES)
(908) 662-7697
Entity
Organization
Contact information
Practice address
570 N BROAD ST STE 10, ELIZABETH, NJ 07208-4301
(908) 662-7697
Mailing address
570 N BROAD ST STE 10, ELIZABETH, NJ 07208-4301
(908) 662-7697
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
18KT00086500
NJ
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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