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7412 Durham Ave North Bergen NJ 07047-4017 | |
| (201) 238-6599 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7412 Durham Ave, North Bergen, New Jersey |
| Authorized Official Name and Position | Paola Lopez (OWNER) |
| Authorized Official Contact | 2012386599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7412 Durham Ave Fl 1 North Bergen NJ 07047-4017 Ph: () - | 7412 Durham Ave North Bergen NJ 07047-4017 Ph: (201) 238-6599 |
| NPI Number | 1700302551 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 08/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700302551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
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