INNOVATIVE CARE CENTER

HACKENSACK, NJ
NPI1306114566
Entity TypeOrganization
Authorized ContactGREGORY RAUSCHER
Medical Director
201-488-1036
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2011-12-02
Last Update Date2011-12-02
Business Address
INNOVATIVE CARE CENTER
20 PROSPECT AVE SUITE 600
HACKENSACK, NJ 07601-1997
Phone number: 201-488-1036
Mailing Address
INNOVATIVE CARE CENTER
20 PROSPECT AVE SUITE 600
HACKENSACK, NJ 07601-1997
Phone number: 201-488-1036
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