Raritan Valley Psychiatric Care Pc | |
105 E Union Ave Suite 230 Bound Brook NJ 08805-1713 | |
(732) 469-7899 | |
(732) 563-9922 |
Full Name | Raritan Valley Psychiatric Care Pc |
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Speciality | Clinic/Center |
Location | 105 E Union Ave, Bound Brook, New Jersey |
Authorized Official Name and Position | Ella Friedman (PRESIDENT) |
Authorized Official Contact | 7324697899 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Raritan Valley Psychiatric Care Pc 105 E Union Ave Suite 230 Bound Brook NJ 08805-1713 Ph: (732) 469-7899 | Raritan Valley Psychiatric Care Pc 105 E Union Ave Suite 230 Bound Brook NJ 08805-1713 Ph: (732) 469-7899 |
NPI Number | 1841404282 |
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Provider Enumeration Date | 05/09/2007 |
Last Update Date | 06/25/2013 |
Medicare PECOS PAC ID | 3375783962 |
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Medicare Enrollment ID | O20130702000286 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841404282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Ella Friedman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1255459475 PECOS PAC ID: 0547287682 Enrollment ID: I20051028000274 |
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