Esnj - Pine Hill Sa (b) | |
828 Blackwood Clementon Road Chateau Ridge Apts, #i 174 & 177 Pine Hill NJ 08021 | |
(856) 627-2808 | |
(856) 309-5674 |
Full Name | Esnj - Pine Hill Sa (b) |
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Speciality | Community/behavioral Health |
Location | 828 Blackwood Clementon Road, Pine Hill, 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 |
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Esnj - Pine Hill Sa (b) 25 Kennedy Blvd Suite 600 East Brunswick NJ 08816-1259 Ph: (732) 257-6662 | Esnj - Pine Hill Sa (b) 828 Blackwood Clementon Road Chateau Ridge Apts, #i 174 & 177 Pine Hill NJ 08021 Ph: (856) 627-2808 |
NPI Number | 1306226154 |
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Provider Enumeration Date | 06/08/2015 |
Last Update Date | 06/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306226154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Esnj - Pine Hill Gh (s) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 Blackwood Clementon Road, Chateau Ridge Apts, #134 & 137, Pine Hill, NJ 08021 Phone: 856-627-2808 Fax: 856-309-5674 | |
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