| Housecall Practitioners, Professional Assoc | |
|
22 Maple St Englewood Cliffs NJ 07632-1912 | |
| (551) 587-3252 | |
| (201) 221-8427 |
| Full Name | Housecall Practitioners, Professional Assoc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22 Maple St, Englewood Cliffs, New Jersey |
| Authorized Official Name and Position | Maria T Seo (DIRECTOR) |
| Authorized Official Contact | 5515873252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Housecall Practitioners, Professional Assoc 22 Maple St Englewood Cliffs NJ 07632-1912 Ph: (551) 587-3252 | Housecall Practitioners, Professional Assoc 22 Maple St Englewood Cliffs NJ 07632-1912 Ph: (551) 587-3252 |
| NPI Number | 1871806059 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 07/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871806059 | NPI | - | NPPES |
| 0201049 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 26NJ0014370 (New Jersey) | Primary |
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