| Essex Health Center Pa | |
|
11 Mountain Ridge Dr Livingston NJ 07039-3408 | |
| (973) 266-2905 | |
| Not Available |
| Full Name | Essex Health Center Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychosomatic Medicine |
| Location | 11 Mountain Ridge Dr, Livingston, New Jersey |
| Authorized Official Name and Position | Dharamsi D Shah (PRESIDENT) |
| Authorized Official Contact | 9732662905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essex Health Center Pa 11 Mountain Ridge Dr Livingston NJ 07039-3408 Ph: (973) 266-2905 | Essex Health Center Pa 11 Mountain Ridge Dr Livingston NJ 07039-3408 Ph: (973) 266-2905 |
| NPI Number | 1053537019 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 04/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053537019 | NPI | - | NPPES |
| 2970104 | Medicaid | NJ | |
| 4946103 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 25MA03373200 (New Jersey) | Primary |
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