Kim Comerford Llc | |
6 White Horse Pike Suite 1b Haddon Heights NJ 08035-1246 | |
(609) 458-2799 | |
Not Available |
Full Name | Kim Comerford Llc |
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Speciality | Social Worker |
Location | 6 White Horse Pike, Haddon Heights, New Jersey |
Authorized Official Name and Position | Kimberlee F Comerford (OWNER) |
Authorized Official Contact | 6094582799 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kim Comerford Llc 43 Michaelson Dr Mount Laurel NJ 08054-1355 Ph: (609) 458-2799 | Kim Comerford Llc 6 White Horse Pike Suite 1b Haddon Heights NJ 08035-1246 Ph: (609) 458-2799 |
NPI Number | 1154674695 |
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Provider Enumeration Date | 10/22/2012 |
Last Update Date | 01/24/2017 |
Medicare PECOS PAC ID | 4981910361 |
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Medicare Enrollment ID | O20150831001743 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154674695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC01173000 (New Jersey) | Primary |
Provider Name | Kimberlee F Comerford |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1295869691 PECOS PAC ID: 1355518184 Enrollment ID: I20120119000636 |
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