| Malo Clinic Advanced Rehabilitation,llc | |
|
201 Route 17 11th Floor Rutherford NJ 07070-2574 | |
| (201) 528-2297 | |
| Not Available |
| Full Name | Malo Clinic Advanced Rehabilitation,llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 201 Route 17, Rutherford, New Jersey |
| Authorized Official Name and Position | Steven Moss (PARTNER) |
| Authorized Official Contact | 2015282297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malo Clinic Advanced Rehabilitation,llc 201 Route 17 11th Floor Rutherford NJ 07070-2574 Ph: (201) 528-2297 | Malo Clinic Advanced Rehabilitation,llc 201 Route 17 11th Floor Rutherford NJ 07070-2574 Ph: (201) 528-2297 |
| NPI Number | 1164758421 |
|---|---|
| Provider Enumeration Date | 10/21/2009 |
| Last Update Date | 10/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164758421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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