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70 W Allendale Ave Ste D Allendale NJ 07401-1798 | |
| (201) 556-8214 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 70 W Allendale Ave Ste D, Allendale, New Jersey |
| Authorized Official Name and Position | Cliff Scott Hamilton (OWNER) |
| Authorized Official Contact | 2015568214 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
722 Saunders Ave Westfield NJ 07090-1928 Ph: (201) 556-8214 | 70 W Allendale Ave Ste D Allendale NJ 07401-1798 Ph: (201) 556-8214 |
| NPI Number | 1720827553 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 06/27/2024 |
| Certification Date | 06/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720827553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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