| Eastern Therapeutics Llc | |
|
309 Fellowship Rd Suite 200 Mount Laurel NJ 08054-1234 | |
| (609) 949-1597 | |
| Not Available |
| Full Name | Eastern Therapeutics Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 309 Fellowship Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Tiniki White (MEMBER) |
| Authorized Official Contact | 6099491597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Therapeutics Llc Po Box 12531 Jacksonville NC 28546-2531 Ph: () - | Eastern Therapeutics Llc 309 Fellowship Rd Suite 200 Mount Laurel NJ 08054-1234 Ph: (609) 949-1597 |
| NPI Number | 1083152714 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083152714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0450135849 (New Jersey) | Primary |
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