| Scott Gerson Llc | |
|
12 Warner Rd Maplewood NJ 07040-2011 | |
| (973) 319-2830 | |
| Not Available |
| Full Name | Scott Gerson Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12 Warner Rd, Maplewood, New Jersey |
| Authorized Official Name and Position | Scott Gerson (OWNER) |
| Authorized Official Contact | 9733192830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Gerson Llc 12 Warner Rd Maplewood NJ 07040-2011 Ph: (973) 319-2830 | Scott Gerson Llc 12 Warner Rd Maplewood NJ 07040-2011 Ph: (973) 319-2830 |
| NPI Number | 1437995065 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437995065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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