| Roxanne Ruiz-adams, Llc | |
|
70 Park St Ste 104 Montclair NJ 07042-2960 | |
| (908) 248-4442 | |
| Not Available |
| Full Name | Roxanne Ruiz-adams, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 70 Park St Ste 104, Montclair, New Jersey |
| Authorized Official Name and Position | Roxanne C Ruiz-adams (OWNER) |
| Authorized Official Contact | 9082484442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roxanne Ruiz-adams, Llc 70 Park St Ste 104 Montclair NJ 07042-2960 Ph: (908) 248-4442 | Roxanne Ruiz-adams, Llc 70 Park St Ste 104 Montclair NJ 07042-2960 Ph: (908) 248-4442 |
| NPI Number | 1730787086 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730787086 | NPI | - | NPPES |
| 0655848 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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