| 1417 Medical Associates Llc | |
|
1417 Brace Rd Cherry Hill NJ 08034-3524 | |
| (561) 318-4409 | |
| Not Available |
| Full Name | 1417 Medical Associates Llc |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 1417 Brace Rd, Cherry Hill, New Jersey |
| Authorized Official Name and Position | James Stokes (CEO) |
| Authorized Official Contact | 5613184455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 1417 Medical Associates Llc 2328 10th Ave N Ste 302 Lake Worth FL 33461-6612 Ph: () - | 1417 Medical Associates Llc 1417 Brace Rd Cherry Hill NJ 08034-3524 Ph: (561) 318-4409 |
| NPI Number | 1659756534 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 07/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659756534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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