Advanced Learning & Ddb Productions | |
152 Speedwell Ave Morristown NJ 07960-8816 | |
(973) 400-9794 | |
(973) 695-1465 |
Full Name | Advanced Learning & Ddb Productions |
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Speciality | Clinic/Center |
Location | 152 Speedwell Ave, Morristown, New Jersey |
Authorized Official Name and Position | Darsi D Beauchamp (MANAGING MEMBER) |
Authorized Official Contact | 9734009794 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advanced Learning & Ddb Productions 152 Speedwell Ave Morristown NJ 07960-8816 Ph: (973) 400-9794 | Advanced Learning & Ddb Productions 152 Speedwell Ave Morristown NJ 07960-8816 Ph: (973) 400-9794 |
NPI Number | 1083224398 |
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Provider Enumeration Date | 08/03/2020 |
Last Update Date | 08/03/2020 |
Certification Date | 08/03/2020 |
Medicare PECOS PAC ID | 5597143123 |
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Medicare Enrollment ID | O20220609001625 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083224398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Menashe East |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114509288 PECOS PAC ID: 8426453275 Enrollment ID: I20220621001960 |
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