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4009 Black Horse Pike Mays Landing NJ 08330-3133 | |
| (215) 590-7555 | |
| (215) 590-7387 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4009 Black Horse Pike, Mays Landing, New Jersey |
| Authorized Official Name and Position | Fabian Stone (VP REVENUE CYCLE) |
| Authorized Official Contact | 2674255765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3401 Civic Center Blvd Philadelphia PA 19104-4319 Ph: (215) 590-7555 | 4009 Black Horse Pike Mays Landing NJ 08330-3133 Ph: (215) 590-7555 |
| NPI Number | 1972695740 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972695740 | NPI | - | NPPES |
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