Whalio Doctors

NPI 1750902813

Pine Group LLC

Organisation Point of Service Fair Lawn, NJ

Practice location

Address
0-39 Pine Ave, Fair Lawn, NJ 07410
Phone
(201) 873-0943

Authorised official

Name
Nathan Shoykhet
Title
Principal
Phone
(201) 873-0943

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1750902813
Entity type
Organization
NPI issued
29 Apr 2020
Record last updated
29 Apr 2020

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.