Individual
ISAAK GORELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 NORTH CORPORATE DRIVE, PUSH TO WALK, RIVERDALE, NJ 07457
(862) 200-5848
(862) 200-5976
Mailing address
6 NORTH CORPORATE DRIVE, PUSH TO WALK, RIVERDALE, NJ 07457
(862) 200-5848
(862) 200-5976
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
726999
NJ
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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