| Maria Elana Cardillo, Llc | |
|
5 Camelot Pl Lot Office Sewell NJ 08080-2308 | |
| (856) 981-5045 | |
| Not Available |
| Full Name | Maria Elana Cardillo, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 5 Camelot Pl Lot Office, Sewell, New Jersey |
| Authorized Official Name and Position | Maria Elana Cardillo (OWNER) |
| Authorized Official Contact | 8566173552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Elana Cardillo, Llc Po Box 8739 Blackwood NJ 08012-8739 Ph: (856) 617-3552 | Maria Elana Cardillo, Llc 5 Camelot Pl Lot Office Sewell NJ 08080-2308 Ph: (856) 981-5045 |
| NPI Number | 1750891248 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750891248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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