Mrc West Medspa Llc

LBN: Mrc West Medspa Llc
Mrc West Medspa Llc is an health care organization with primary practice located at 761 Bloomfield Ave , West Caldwell NJ 07006-6701. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Mrc West Medspa Llc can be contacted via phone (862) 284-3747, or through Distefano, Kelly via phone (862) 216-9732.

Contact Information

Primary practice address
761 Bloomfield Ave West Caldwell NJ 07006-6701
Phone: (862) 284-3747
Fax: (973) 860-1602
Website:
Map and Directions
Authorized official contact:
Name: Distefano, Kelly Doctor of Medicine (MD)
Phone: (862) 216-9732

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1447905245
LBN Legal business name Mrc West Medspa Llc
DBA Doing business as
Authorized official Distefano, Kelly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2022
Last updated Feb 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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