| Psychiatry&psychosomatic Medicine | |
|
549 Pines Lake Dr E Wayne NJ 07470-5117 | |
| (973) 464-7599 | |
| Not Available |
| Full Name | Psychiatry&psychosomatic Medicine |
|---|---|
| Speciality | Counselor - Professional |
| Location | 549 Pines Lake Dr E, Wayne, New Jersey |
| Authorized Official Name and Position | Margarita Gormus (M.D.) |
| Authorized Official Contact | 9734647599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry&psychosomatic Medicine 549 Pines Lake Dr E Wayne NJ 07470-5117 Ph: (973) 464-7599 | Psychiatry&psychosomatic Medicine 549 Pines Lake Dr E Wayne NJ 07470-5117 Ph: (973) 464-7599 |
| NPI Number | 1023303229 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023303229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 25 MA08664800 (New Jersey) | Primary |
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