| Family Service Bureau Of Newark | |
|
274 South Orange Avenue Newark NJ 07103 | |
| (973) 484-3452 | |
| Not Available |
| Full Name | Family Service Bureau Of Newark |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 274 South Orange Avenue, Newark, New Jersey |
| Authorized Official Name and Position | Chi Shu Chou (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9734122056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Bureau Of Newark 274 S Orange Ave Newark NJ 07103-2419 Ph: (973) 412-2062 | Family Service Bureau Of Newark 274 South Orange Avenue Newark NJ 07103 Ph: (973) 484-3452 |
| NPI Number | 1346535663 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 10/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346535663 | NPI | - | NPPES |
| 0164062 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC01305900 (New Jersey) | Primary |
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