| Organization Name: | THERAPRO-CORF, LLC |
| NPI Number: | 1043497571 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAVI TIKOO (CEO) |
| Mailing Address: | 9225 Kennedy Blvd North Bergen |
| State: | NJ US |
| Postal Code: | 070475361 |
| Phone Number: | 2018692701 |
| Fax Number: | 2018692717 |
| NPI Enumeration Date: | 01/28/2008 |
| NPI Last Update Date: | 04/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |