CRYSTAL TANK

GLEN RIDGE, NJ
NPI1043639453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA10421000)
Enumeration Date2014-04-14
Last Update Date2020-02-17
Business Address
CRYSTAL TANK M.D.
311 BAY AVE MMG INTERNAL MED
GLEN RIDGE, NJ 07028
Phone number: 973-748-9246
Mailing Address
CRYSTAL TANK M.D.
PO BOX 419430
BOSTON, MA 02241-9430
Phone number: 201-967-8221
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