Mrc West Medspa LLC
NPI #1447905245 in West Caldwell, New Jersey
Provider Information
- NPI Number
- 1447905245
- Entity Type
- Organization
- Organization Name
- Mrc West Medspa LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 21, 2022
- Last Updated
- Feb 21, 2022
Practice Location
- Address
- 761 BLOOMFIELD AVE
- City
- West Caldwell
- State
- New Jersey
- ZIP Code
- 07006-6701
- Phone
- (862) 284-3747
Authorized Official
- Name
- KELLY DISTEFANO, MD
- Title
- OWNER
- Phone
- (862) 216-9732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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