| Essex Psychiatric Center For Children & Adults Llc | |
|
111 Central Ave Newark NJ 07102-1909 | |
| (201) 805-6046 | |
| Not Available |
| Full Name | Essex Psychiatric Center For Children & Adults Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 111 Central Ave, Newark, New Jersey |
| Authorized Official Name and Position | Sonia Demetrios (MEDICAL DOCTOR) |
| Authorized Official Contact | 2018056046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essex Psychiatric Center For Children & Adults Llc 38 Talbot St Somerset NJ 08873-4600 Ph: (201) 805-6046 | Essex Psychiatric Center For Children & Adults Llc 111 Central Ave Newark NJ 07102-1909 Ph: (201) 805-6046 |
| NPI Number | 1396205563 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 03/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396205563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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