Esnj - Rio Grande (b) | |
1304 Route 47; Unit Z Village Shoppes At Rio Grande Rio Grande NJ 08242 | |
(609) 889-1114 | |
(609) 889-0940 |
Full Name | Esnj - Rio Grande (b) |
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Speciality | Community/behavioral Health |
Location | 1304 Route 47; Unit Z, Rio Grande, 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 - Rio Grande (b) 25 Kennedy Blvd Suite 600 East Brunswick NJ 08816-1259 Ph: (732) 257-6662 | Esnj - Rio Grande (b) 1304 Route 47; Unit Z Village Shoppes At Rio Grande Rio Grande NJ 08242 Ph: (609) 889-1114 |
NPI Number | 1073993721 |
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Provider Enumeration Date | 06/08/2015 |
Last Update Date | 06/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073993721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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