| Organization Name: | R M C N J PA |
| NPI Number: | 1770632879 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOV JOHANAN RAND (OWNER-PHYSICIAN) |
| Mailing Address: | 667 Eagle Rock Ave West Orange |
| State: | NJ US |
| Postal Code: | 070522177 |
| Phone Number: | 9737318112 |
| Fax Number: | |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | 25MA05832500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |