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Organization

MASTERY CURRICULUM VITAE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VANESSA ROSADO (EXECUTIVE DIRECTOR)
(347) 641-9343
Entity
Organization

Contact information

Practice address
10 MATTIMORE ST, PASSAIC, NJ 07055-7010
(347) 641-9343
Mailing address
10 MATTIMORE ST, PASSAIC, NJ 07055-7010

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
09/10/2019
Last updated
09/10/2019
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