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G9 Brier Hill Ct East Brunswick NJ 08816-3338 | |
| (732) 238-9400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | G9 Brier Hill Ct, East Brunswick, New Jersey |
| Authorized Official Name and Position | Kenneth R. Suckerman (PRESIDENT) |
| Authorized Official Contact | 7322389400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
G9 Brier Hill Ct East Brunswick NJ 08816-3338 Ph: (732) 238-9400 | G9 Brier Hill Ct East Brunswick NJ 08816-3338 Ph: (732) 238-9400 |
| NPI Number | 1669504171 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 07/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669504171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00138800 (New Jersey) | Primary |
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