| Real House Inc. | |
|
95 Grove St Montclair NJ 07042-4005 | |
| (973) 746-2400 | |
| (973) 746-8551 |
| Full Name | Real House Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 95 Grove St, Montclair, New Jersey |
| Authorized Official Name and Position | Diane M. Anglin (SENIOR DIRECTOR) |
| Authorized Official Contact | 9737462400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Real House Inc. 60 Hazelwood Rd Bloomfield NJ 07003-5112 Ph: (973) 746-2400 | Real House Inc. 95 Grove St Montclair NJ 07042-4005 Ph: (973) 746-2400 |
| NPI Number | 1790983583 |
|---|---|
| Provider Enumeration Date | 07/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790983583 | NPI | - | NPPES |
| 0121851 | Other | NJ | PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New Jersey) | Primary |
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