Mbros Tnt Llc | |
861 Robinwood Rd Township Of Washington NJ 07676-4244 | |
(201) 851-4804 | |
Not Available |
Full Name | Mbros Tnt Llc |
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Speciality | Community/behavioral Health |
Location | 861 Robinwood Rd, Township Of Washington, New Jersey |
Authorized Official Name and Position | Ronnie J Moore (COMPLIANCE OFFICER) |
Authorized Official Contact | 2018514804 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mbros Tnt Llc 861 Robinwood Rd Township Of Washington NJ 07676-4244 Ph: (201) 851-4804 | Mbros Tnt Llc 861 Robinwood Rd Township Of Washington NJ 07676-4244 Ph: (201) 851-4804 |
NPI Number | 1336749076 |
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Provider Enumeration Date | 10/30/2020 |
Last Update Date | 10/30/2020 |
Certification Date | 10/30/2020 |
Identifier | Type | State | Issuer |
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1336749076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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