| My Potential | |
|
78 Arlene Ct Fanwood NJ 07023-1113 | |
| (551) 697-0030 | |
| Not Available |
| Full Name | My Potential |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 78 Arlene Ct, Fanwood, New Jersey |
| Authorized Official Name and Position | Marissa Cossolini (OWNER/ CLINICAL DIRECTOR) |
| Authorized Official Contact | 5516970030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Potential 78 Arlene Ct Fanwood NJ 07023-1113 Ph: (551) 697-0030 | My Potential 78 Arlene Ct Fanwood NJ 07023-1113 Ph: (551) 697-0030 |
| NPI Number | 1356228563 |
|---|---|
| Provider Enumeration Date | 08/19/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356228563 | NPI | - | NPPES |
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