| Pax Aria Resources Llc | |
|
14 Mcguire Dr West Orange NJ 07052-1720 | |
| (973) 769-4908 | |
| Not Available |
| Full Name | Pax Aria Resources Llc |
|---|---|
| Speciality | Psychologist |
| Location | 14 Mcguire Dr, West Orange, New Jersey |
| Authorized Official Name and Position | Reginald Galen Ross (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9737694908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pax Aria Resources Llc 14 Mcguire Dr West Orange NJ 07052-1720 Ph: (973) 769-4908 | Pax Aria Resources Llc 14 Mcguire Dr West Orange NJ 07052-1720 Ph: (973) 769-4908 |
| NPI Number | 1285334649 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285334649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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