Sa653 | |
614 Bloomfield Ave Clifton NJ 07012-1204 | |
(973) 703-6667 | |
Not Available |
Full Name | Sa653 |
---|---|
Speciality | Community/behavioral Health |
Location | 614 Bloomfield Ave, Clifton, New Jersey |
Authorized Official Name and Position | Christina Martin (ADVISOR) |
Authorized Official Contact | 9737036667 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sa653 49 Woodbridge Ave Highland Park NJ 08904-3236 Ph: (973) 703-6667 | Sa653 614 Bloomfield Ave Clifton NJ 07012-1204 Ph: (973) 703-6667 |
NPI Number | 1982245809 |
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Provider Enumeration Date | 10/02/2019 |
Last Update Date | 03/03/2022 |
Certification Date | 03/03/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982245809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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