| Christina Duggan, Llc | |
|
525 Rt 70w, Ste A-3 Northern Ocean Prof. Plaza Lakewood NJ 08701-5847 | |
| (732) 668-6536 | |
| Not Available |
| Full Name | Christina Duggan, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 525 Rt 70w, Ste A-3, Lakewood, New Jersey |
| Authorized Official Name and Position | Christina Duggan (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7326686536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Duggan, Llc 525 Rt 70w, Ste A-3 Northern Ocean Prof. Plaza Lakewood NJ 08701-5847 Ph: (732) 668-6536 | Christina Duggan, Llc 525 Rt 70w, Ste A-3 Northern Ocean Prof. Plaza Lakewood NJ 08701-5847 Ph: (732) 668-6536 |
| NPI Number | 1013295401 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 08/02/2011 |
| Medicare PECOS PAC ID | 0244409720 |
|---|---|
| Medicare Enrollment ID | O20110818000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013295401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00434800 (New Jersey) | Primary |
| Provider Name | Christina B Duggan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982757183 PECOS PAC ID: 3678669033 Enrollment ID: I20071016000220 |
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