| Advanced Capabilities | |
|
413 Conover St South Amboy NJ 08879-1207 | |
| (732) 727-2562 | |
| Not Available |
| Full Name | Advanced Capabilities |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 413 Conover St, South Amboy, New Jersey |
| Authorized Official Name and Position | Brian Steve Ruiz (OWNER) |
| Authorized Official Contact | 8622202682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Capabilities 413 Conover St South Amboy NJ 08879-1207 Ph: (732) 727-2562 | Advanced Capabilities 413 Conover St South Amboy NJ 08879-1207 Ph: (732) 727-2562 |
| NPI Number | 1225635873 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225635873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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