| Esnj - Lakewood (b) | |
|
1200 River Road; Suite 3e Cross River Mill Lakewood NJ 08701 | |
| (732) 730-0131 | |
| (732) 730-0492 |
| Full Name | Esnj - Lakewood (b) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1200 River Road; Suite 3e, Lakewood, 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 - Lakewood (b) 25 Kennedy Blvd Suite 600 East Brunswick NJ 08816-1259 Ph: (732) 257-6662 | Esnj - Lakewood (b) 1200 River Road; Suite 3e Cross River Mill Lakewood NJ 08701 Ph: (732) 730-0131 |
| NPI Number | 1578943221 |
|---|---|
| Provider Enumeration Date | 06/08/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578943221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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