| Connection Korner | |
|
Park Avenue, Lake St, Newark Newark NJ 07104 | |
| (848) 213-2350 | |
| Not Available |
| Full Name | Connection Korner |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Park Avenue, Lake St, Newark, Newark, New Jersey |
| Authorized Official Name and Position | Kendra S Williams (OWNER) |
| Authorized Official Contact | 8482132350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connection Korner Po Box 728 Newark NJ 07101-0728 Ph: (848) 213-2350 | Connection Korner Park Avenue, Lake St, Newark Newark NJ 07104 Ph: (848) 213-2350 |
| NPI Number | 1336717677 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 06/14/2021 |
| Certification Date | 05/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336717677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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