| 85 Hopper Ave | |
|
85 Hopper Ave Waldwick NJ 07463-1517 | |
| (201) 312-5599 | |
| Not Available |
| Full Name | 85 Hopper Ave |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 85 Hopper Ave, Waldwick, New Jersey |
| Authorized Official Name and Position | Deelip Mhaske (CEO) |
| Authorized Official Contact | 2013125599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 85 Hopper Ave 85 Hopper Ave Waldwick NJ 07463-1517 Ph: (201) 312-5599 | 85 Hopper Ave 85 Hopper Ave Waldwick NJ 07463-1517 Ph: (201) 312-5599 |
| NPI Number | 1942524608 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942524608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 10173-01-04 (New Jersey) | Primary |
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