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865 State Route 33 Ste 3-164 Freehold NJ 07728-8475 | |
| (732) 851-6172 | |
| (908) 200-7429 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 865 State Route 33 Ste 3-164, Freehold, New Jersey |
| Authorized Official Name and Position | Victor G Grosu (OWNER) |
| Authorized Official Contact | 7328516172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
865 State Route 33 Ste 3-164 Freehold NJ 07728-8475 Ph: (732) 851-6172 | 865 State Route 33 Ste 3-164 Freehold NJ 07728-8475 Ph: (732) 851-6172 |
| NPI Number | 1194297614 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194297614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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