| Craig Nussbaum Llc | |
|
128 Ivins Ave Merchantville NJ 08109-2924 | |
| (609) 605-2847 | |
| Not Available |
| Full Name | Craig Nussbaum Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 128 Ivins Ave, Merchantville, New Jersey |
| Authorized Official Name and Position | Craig Nussbaum (PRESIDENT) |
| Authorized Official Contact | 6096052847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Nussbaum Llc 128 Ivins Ave Merchantville NJ 08109-2924 Ph: (609) 605-2847 | Craig Nussbaum Llc 128 Ivins Ave Merchantville NJ 08109-2924 Ph: (609) 605-2847 |
| NPI Number | 1184204802 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 04/08/2021 |
| Certification Date | 04/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184204802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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