| Holy Name Primary Care And Specialty Associates, Pc | |
|
354 Old Hook Rd Ste 102 Westwood NJ 07675-3247 | |
| (201) 833-3000 | |
| Not Available |
| Full Name | Holy Name Primary Care And Specialty Associates, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 354 Old Hook Rd Ste 102, Westwood, New Jersey |
| Authorized Official Name and Position | Patricia Beniquez Pacheco (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2018333599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holy Name Primary Care And Specialty Associates, Pc 3 University Plz Ste 205 Hackensack NJ 07601-6208 Ph: (201) 833-3599 | Holy Name Primary Care And Specialty Associates, Pc 354 Old Hook Rd Ste 102 Westwood NJ 07675-3247 Ph: (201) 833-3000 |
| NPI Number | 1013680727 |
|---|---|
| Provider Enumeration Date | 07/28/2021 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013680727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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