Nj Wellness Center Pc | |
596 Anderson Ave Ste 305 Cliffside Park NJ 07010-1888 | |
(973) 619-9694 | |
(201) 625-6699 |
Full Name | Nj Wellness Center Pc |
---|---|
Speciality | Psychologist |
Location | 596 Anderson Ave Ste 305, Cliffside Park, New Jersey |
Authorized Official Name and Position | Jennifer M Walker Rosario (BILLING MANAGER) |
Authorized Official Contact | 9734958808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nj Wellness Center Pc 96 Linwood Plz Rt 9 West Ste 303 Fort Lee NJ 07024-3701 Ph: (973) 495-8808 | Nj Wellness Center Pc 596 Anderson Ave Ste 305 Cliffside Park NJ 07010-1888 Ph: (973) 619-9694 |
NPI Number | 1558752410 |
---|---|
Provider Enumeration Date | 02/13/2015 |
Last Update Date | 02/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558752410 | NPI | - | NPPES |
6519903 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 25MA06845300 (New Jersey) | Primary |
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