| Elizabeth Ann Rastelli,llc | |
|
1201 Route 37 E Suite 8 Toms River NJ 08753-5728 | |
| (732) 684-9855 | |
| (732) 270-8999 |
| Full Name | Elizabeth Ann Rastelli,llc |
|---|---|
| Speciality | Social Worker |
| Location | 1201 Route 37 E, Toms River, New Jersey |
| Authorized Official Name and Position | Elizabeth Ann Rastelli (OWNER) |
| Authorized Official Contact | 7326849855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Ann Rastelli,llc 1201 Route 37 E Suite 8 Toms River NJ 08753-5728 Ph: (732) 684-9855 | Elizabeth Ann Rastelli,llc 1201 Route 37 E Suite 8 Toms River NJ 08753-5728 Ph: (732) 684-9855 |
| NPI Number | 1518025246 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4284633983 |
|---|---|
| Medicare Enrollment ID | O20061206000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518025246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04332600 (New Jersey) | Primary |
| Provider Name | Elizabeth A Rastelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306805882 PECOS PAC ID: 1355384298 Enrollment ID: I20050602000343 |
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