Neurowave Profiles LLC

NPI #1104096445 in Jersey City, New Jersey

Provider Information

NPI Number: 1104096445
Entity Type: Organization
Organization Name: Neurowave Profiles LLC
Primary Specialty: Specialist
Enumeration Date: Mar 3, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: 590 NEWARK AVE
City: Jersey City
State: New Jersey
ZIP Code: 07306-2302
Phone: (201) 342-1205

Authorized Official

Name: DANILO MANGUNAY, MD
Title: PRESIDENT
Phone: (201) 342-1205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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