Fvr Psych Intl | |
78 Fillmore St Newark NJ 07105-3682 | |
(862) 372-2737 | |
Not Available |
Full Name | Fvr Psych Intl |
---|---|
Speciality | Social Worker - Clinical |
Location | 78 Fillmore St, Newark, New Jersey |
Authorized Official Name and Position | Fernando Vazquez (OWNER) |
Authorized Official Contact | 8623722737 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fvr Psych Intl 78 Fillmore St Newark NJ 07105-3682 Ph: (862) 372-2737 | Fvr Psych Intl 78 Fillmore St Newark NJ 07105-3682 Ph: (862) 372-2737 |
NPI Number | 1194596288 |
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Provider Enumeration Date | 01/09/2024 |
Last Update Date | 01/10/2024 |
Certification Date | 01/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194596288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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