Mgm Ketamine Services LLC

NPI #1225774326 in Oradell, New Jersey

Provider Information

NPI Number
1225774326
Entity Type
Organization
Organization Name
Mgm Ketamine Services LLC
Primary Specialty
Emergency Medicine
Enumeration Date
May 11, 2022
Last Updated
May 11, 2022

Practice Location

Address
690 KINDERKAMACK RD STE 103
ZIP Code
07649-1524
Phone
(201) 483-3760

Authorized Official

Name
DR. CHERYL MALINA, MD
Title
PHYSICIAN
Phone
(201) 483-3760

Specialties & Taxonomy Codes

Specialty
Emergency Medicine

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