| Esnj - Edison (b) | |
|
15 Main St Suite 5 Edison NJ 08837-3447 | |
| (732) 744-1488 | |
| (732) 744-1486 |
| Full Name | Esnj - Edison (b) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15 Main St, Edison, 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 - Edison (b) 25 Kennedy Blvd Suite 600 East Brunswick NJ 08816-1259 Ph: (732) 257-6662 | Esnj - Edison (b) 15 Main St Suite 5 Edison NJ 08837-3447 Ph: (732) 744-1488 |
| NPI Number | 1912387986 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912387986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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