| Esnj - Bergen (s) | |
|
194 Route 17 North Rochelle Park NJ 07662-4006 | |
| (201) 845-0247 | |
| (201) 845-6758 |
| Full Name | Esnj - Bergen (s) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 194 Route 17 North, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Brian J Fitzgerald (PRESIDENT) |
| Authorized Official Contact | 7322576662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Esnj - Bergen (s) 25 Kennedy Blvd Suite 600 East Brunswick NJ 08816-1259 Ph: (732) 257-6662 | Esnj - Bergen (s) 194 Route 17 North Rochelle Park NJ 07662-4006 Ph: (201) 845-0247 |
| NPI Number | 1902286768 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 06/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902286768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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