NPI 1083972442

Spring Spa Depot Corporation

Organisation Non-Pharmacy Dispensing Site Newark, NJ

Practice location

Address: 6 Goble St, Newark, NJ 07114-2702
Phone: (888) 412-0570
Mailing address: PO Box 32534, Newark, NJ 07102-0934

Authorised official

Name: Garis L Silega
Title: President
Phone: (862) 241-1800

Registered specialties (3)

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in New Jersey →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X

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Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

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Registry record

NPI: 1083972442
Entity type: Organization
NPI issued: 24 Apr 2012
Record last updated: 24 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.