| Innovative Care Center | |
|
20 Prospect Ave Suite 600 Hackensack NJ 07601-1997 | |
| (201) 488-1036 | |
| (201) 489-6966 |
| Full Name | Innovative Care Center |
|---|---|
| Speciality | Clinic/center |
| Location | 20 Prospect Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Gregory Rauscher (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2014881036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Care Center 20 Prospect Ave Suite 600 Hackensack NJ 07601-1997 Ph: (201) 488-1036 | Innovative Care Center 20 Prospect Ave Suite 600 Hackensack NJ 07601-1997 Ph: (201) 488-1036 |
| NPI Number | 1306114566 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306114566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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