| Paulina Gastelum Llc | |
|
201 Tilton Rd Ste 11 Northfield NJ 08225-1247 | |
| (640) 221-5737 | |
| Not Available |
| Full Name | Paulina Gastelum Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 201 Tilton Rd Ste 11, Northfield, New Jersey |
| Authorized Official Name and Position | Paulina Gastelum (OWNER) |
| Authorized Official Contact | 6402215737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paulina Gastelum Llc 201 Tilton Rd Ste 11 Northfield NJ 08225-1247 Ph: () - | Paulina Gastelum Llc 201 Tilton Rd Ste 11 Northfield NJ 08225-1247 Ph: (640) 221-5737 |
| NPI Number | 1770328395 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770328395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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