| David A. Pupa, Lcsw, Llc | |
|
2164 Highway 35 Bldg B Suite 6 Sea Girt NJ 08750-1013 | |
| (732) 256-4940 | |
| Not Available |
| Full Name | David A. Pupa, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2164 Highway 35 Bldg B, Sea Girt, New Jersey |
| Authorized Official Name and Position | David A. Pupa (OWNER) |
| Authorized Official Contact | 7322564940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David A. Pupa, Lcsw, Llc 2164 Highway 35 Bldg B Suite 6 Sea Girt NJ 08750-1013 Ph: (732) 256-4940 | David A. Pupa, Lcsw, Llc 2164 Highway 35 Bldg B Suite 6 Sea Girt NJ 08750-1013 Ph: (732) 256-4940 |
| NPI Number | 1407113673 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 05/09/2012 |
| Medicare PECOS PAC ID | 5597927442 |
|---|---|
| Medicare Enrollment ID | O20120510000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407113673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05335400 (New Jersey) | Primary |
| Provider Name | David A Pupa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225206790 PECOS PAC ID: 6406018357 Enrollment ID: I20120516000093 |
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