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39 Corona Rd East Brunswick NJ 08816-1357 | |
| (732) 545-7678 | |
| (732) 545-0017 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 39 Corona Rd, East Brunswick, New Jersey |
| Authorized Official Name and Position | Angelo James Spinazzola (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7325457678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
39 Corona Rd East Brunswick NJ 08816-1357 Ph: (732) 545-7678 | 39 Corona Rd East Brunswick NJ 08816-1357 Ph: (732) 545-7678 |
| NPI Number | 1518011980 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518011980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | FI00937 (New Jersey) | Primary |
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