Organization
THE LICE LOUNGE OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A DI STAULO DI STAULO (PRESIDENT)
(201) 431-3426
Entity
Organization
Contact information
Practice address
900D LAKE ST, RAMSEY, NJ 07446-1283
(201) 431-3426
Mailing address
59 STONE FENCE RD, ALLENDALE, NJ 07401-1851
(646) 919-1533
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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