| Aba Group Practice Pa | |
|
1564 Lemoine Ave Fort Lee NJ 07024-5635 | |
| (201) 794-9797 | |
| (201) 254-8095 |
| Full Name | Aba Group Practice Pa |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1564 Lemoine Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Elvira Maler (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2018735575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aba Group Practice Pa 1203 River Rd 9m Edgewater NJ 07020-1456 Ph: (201) 873-5575 | Aba Group Practice Pa 1564 Lemoine Ave Fort Lee NJ 07024-5635 Ph: (201) 794-9797 |
| NPI Number | 1750775946 |
|---|---|
| Provider Enumeration Date | 03/25/2015 |
| Last Update Date | 03/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750775946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05280200 (New Jersey) | Primary |
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