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1306114566
INNOVATIVE CARE CENTER
HACKENSACK, NJ
NPI
1306114566
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Entity Type
Organization
Authorized Contact
GREGORY RAUSCHER
Medical Director
201-488-1036
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2011-12-02
Last Update Date
2011-12-02
Business Address
INNOVATIVE CARE CENTER
20 PROSPECT AVE SUITE 600
HACKENSACK, NJ 07601-1997
Phone number: 201-488-1036
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Mailing Address
INNOVATIVE CARE CENTER
20 PROSPECT AVE SUITE 600
HACKENSACK, NJ 07601-1997
Phone number: 201-488-1036
Copy
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