Nj Memory Center, Llc | |
80 Pompton Ave Ste 106 Verona NJ 07044-2913 | |
(201) 577-8286 | |
(201) 479-0299 |
Full Name | Nj Memory Center, Llc |
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Speciality | Psychologist - Clinical |
Location | 80 Pompton Ave Ste 106, Verona, New Jersey |
Authorized Official Name and Position | Corey J Burchette (FOUNDER) |
Authorized Official Contact | 2015778286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nj Memory Center, Llc 80 Pompton Ave Ste 106 Verona NJ 07044-2913 Ph: (201) 577-8286 | Nj Memory Center, Llc 80 Pompton Ave Ste 106 Verona NJ 07044-2913 Ph: (201) 577-8286 |
NPI Number | 1952869489 |
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Provider Enumeration Date | 03/04/2019 |
Last Update Date | 03/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952869489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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