Miriam Adler Pc | |
777 Passaic Ave Suite 565 Clifton NJ 07012-1804 | |
(973) 815-0777 | |
(973) 815-0737 |
Full Name | Miriam Adler Pc |
---|---|
Speciality | Psychologist |
Location | 777 Passaic Ave, Clifton, New Jersey |
Authorized Official Name and Position | Miriam Adler (PRESIDENT) |
Authorized Official Contact | 9738150777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Miriam Adler Pc 777 Passaic Ave Suite 565 Clifton NJ 07012-1804 Ph: (973) 815-0777 | Miriam Adler Pc 777 Passaic Ave Suite 565 Clifton NJ 07012-1804 Ph: (973) 815-0777 |
NPI Number | 1497948251 |
---|---|
Provider Enumeration Date | 08/23/2007 |
Last Update Date | 09/04/2014 |
Medicare PECOS PAC ID | 7113094749 |
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Medicare Enrollment ID | O20080924000415 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497948251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 355100443500 (New Jersey) | Primary |
Provider Name | Miriam G Adler |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1518178789 PECOS PAC ID: 5496826125 Enrollment ID: I20080624000162 |
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