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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TUSEEAF RATHORE

Active Sole Proprietor

Methadone Clinic · IRVINGTON, NJ

Registration Details

NPI Number
1467854372
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2014 (11.575669296113 yrs)
Last Updated
Apr 27, 2024
Licenses
31D2083671 (NJ)
2000440 (NJ)
Sole Proprietor
Yes

Practice Information

Address
22 BALL ST
2ND FLOOR
IRVINGTON, NJ, 071113521
Browse NJ providers · Browse ZIP 07111
Phone
2016685016
Primary Specialty
Methadone Clinic
261QM2800X
Additional Specialty
Methadone Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.