| NPI | 1023600608 |
|---|---|
| Doing Business As | FYZICAL JERSEY CITY |
| Entity Type | Organization |
| Authorized Contact | MARK MASCARENHAS Manager 201-736-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2021-04-12 |