GLUTALITY PROVIDER GROUP OF NEW JERSEY, PA.

NEPTUNE, NJ
NPI1396335675
Entity TypeOrganization
Authorized ContactMARK MITCHELL
Owner
561-678-2026
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2021-01-21
Last Update Date2021-11-08
Business Address
GLUTALITY PROVIDER GROUP OF NEW JERSEY, PA.
3600 ROUTE 66 STE 150
NEPTUNE, NJ 07753-2645
Phone number: 561-678-2026
Mailing Address
GLUTALITY PROVIDER GROUP OF NEW JERSEY, PA.
401 FAIRWAY DR STE 200
DEERFIELD BEACH, FL 33441-1800
Phone number: 561-678-2026
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