| John T. Miele, Ph.d. | |
|
1605 John St 314 Fort Lee NJ 07024-2575 | |
| (973) 464-9639 | |
| Not Available |
| Full Name | John T. Miele, Ph.d. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1605 John St, Fort Lee, New Jersey |
| Authorized Official Name and Position | John Miele (OWNER) |
| Authorized Official Contact | 9734649639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T. Miele, Ph.d. 112 Dulles Dr Dumont NJ 07628-3620 Ph: (973) 464-9639 | John T. Miele, Ph.d. 1605 John St 314 Fort Lee NJ 07024-2575 Ph: (973) 464-9639 |
| NPI Number | 1154747582 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 03/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154747582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35S100441900 (New Jersey) | Primary |
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