Mrc West Medspa Llc | |
761 Bloomfield Ave West Caldwell NJ 07006-6701 | |
(862) 284-3747 | |
(973) 860-1602 |
Full Name | Mrc West Medspa Llc |
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Speciality | Clinic/center |
Location | 761 Bloomfield Ave, West Caldwell, New Jersey |
Authorized Official Name and Position | Kelly Distefano (OWNER) |
Authorized Official Contact | 8622169732 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mrc West Medspa Llc 761 Bloomfield Ave West Caldwell NJ 07006-6701 Ph: (862) 284-3747 | Mrc West Medspa Llc 761 Bloomfield Ave West Caldwell NJ 07006-6701 Ph: (862) 284-3747 |
NPI Number | 1447905245 |
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Provider Enumeration Date | 02/21/2022 |
Last Update Date | 02/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447905245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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