Quintana Psychiatric Care | |
1203 W Saint Georges Ave 1floor Left Side Unit Linden NJ 07036-6167 | |
(973) 715-1310 | |
(908) 290-3105 |
Full Name | Quintana Psychiatric Care |
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Speciality | Behavior Analyst |
Location | 1203 W Saint Georges Ave, Linden, New Jersey |
Authorized Official Name and Position | Sonia Breda (PRACTICE MANAGER) |
Authorized Official Contact | 9737151310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Quintana Psychiatric Care 180 Stanton St Rahway NJ 07065-3122 Ph: (973) 715-1310 | Quintana Psychiatric Care 1203 W Saint Georges Ave 1floor Left Side Unit Linden NJ 07036-6167 Ph: (973) 715-1310 |
NPI Number | 1124421268 |
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Provider Enumeration Date | 10/03/2014 |
Last Update Date | 02/06/2015 |
Medicare PECOS PAC ID | 4385960988 |
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Medicare Enrollment ID | O20150225001845 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124421268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | MA60018 (New Jersey) | Primary |
Provider Name | Jorge D Quintana |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326103128 PECOS PAC ID: 2567359102 Enrollment ID: I20040301000121 |
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