Psychiatric Medicine Consultants Of New Jersey Llc | |
60 W Ridgewood Ave Ridgewood NJ 07450-3197 | |
(201) 681-2915 | |
Not Available |
Full Name | Psychiatric Medicine Consultants Of New Jersey Llc |
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Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
Location | 60 W Ridgewood Ave, Ridgewood, New Jersey |
Authorized Official Name and Position | Steven C Samuels (PRESIDENT) |
Authorized Official Contact | 2016812915 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychiatric Medicine Consultants Of New Jersey Llc 60 W Ridgewood Ave Ridgewood NJ 07450-3197 Ph: (201) 681-2915 | Psychiatric Medicine Consultants Of New Jersey Llc 60 W Ridgewood Ave Ridgewood NJ 07450-3197 Ph: (201) 681-2915 |
NPI Number | 1366633448 |
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Provider Enumeration Date | 08/05/2007 |
Last Update Date | 11/28/2007 |
Identifier | Type | State | Issuer |
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1366633448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 25MA07660500 (New Jersey) | Primary |
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