Mr Angelo Fouras, LCSW | |
288 Rues Ln, East Brunswick, NJ 08816-5699 | |
(732) 257-6100 | |
Not Available |
Full Name | Mr Angelo Fouras |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 288 Rues Ln, East Brunswick, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669852075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC05659300 (New Jersey) | Primary |
Entity Name | Lifebulb Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20230301003017 |
Mailing Address | Practice Location Address |
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Mr Angelo Fouras, LCSW 49 Park Ave, Iselin, NJ 08830-2241 Ph: (732) 887-9208 | Mr Angelo Fouras, LCSW 288 Rues Ln, East Brunswick, NJ 08816-5699 Ph: (732) 257-6100 |
Erica Rodriguez, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 W Prospect St, East Brunswick, NJ 08816 Phone: 732-254-0600 | |
Ms. Stephanie Loretta Willoughby, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6 Cornwall Ct Ste B, East Brunswick, NJ 08816 Phone: 732-955-4141 | |
Debra Gail Kaufman, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1 Ruth St, East Brunswick, NJ 08816 Phone: 732-887-7901 | |
Tatiana Larina, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 31 Ellwood Rd, East Brunswick, NJ 08816 Phone: 732-390-3371 | |
Felene Weinstein Weinstein Schwartz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Thrush Dr, East Brunswick, NJ 08816 Phone: 732-710-2109 | |
William Launay Faughnan, LSW, MSW, BA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 W Prospect St, East Brunswick, NJ 08816 Phone: 732-254-0600 Fax: 732-254-8606 | |
Simone Waters, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 16 Emerson St, East Brunswick, NJ 08816 Phone: 848-229-4412 |