| Jeanmarie Maroney Chang Llc | |
|
10 Shawnee Dr Ste 3 Watchung NJ 07069-5803 | |
| (908) 656-1006 | |
| Not Available |
| Full Name | Jeanmarie Maroney Chang Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10 Shawnee Dr Ste 3, Watchung, New Jersey |
| Authorized Official Name and Position | Jeanmarie Chang (OWNER/PROVIDER) |
| Authorized Official Contact | 9086561006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanmarie Maroney Chang Llc 10 Mountain Ave Warren NJ 07059-5316 Ph: () - | Jeanmarie Maroney Chang Llc 10 Shawnee Dr Ste 3 Watchung NJ 07069-5803 Ph: (908) 656-1006 |
| NPI Number | 1669958138 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 07/17/2018 |
| Medicare PECOS PAC ID | 9739438797 |
|---|---|
| Medicare Enrollment ID | O20180823003198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669958138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jeanmarie Chang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972036648 PECOS PAC ID: 1355628603 Enrollment ID: I20170515002057 |
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