| C | |
|
160 Conover Road Wickatunk NJ 07765-0300 | |
| (732) 946-4771 | |
| (732) 332-1240 |
| Full Name | C |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 160 Conover Road, Wickatunk, New Jersey |
| Authorized Official Name and Position | Christine Delcuore (EXECUTIVE ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 7329464771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C 160 Conover Road Wickatunk NJ 07765-0300 Ph: (732) 946-4771 | C 160 Conover Road Wickatunk NJ 07765-0300 Ph: (732) 946-4771 |
| NPI Number | 1336892348 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336892348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |