Serra Associates Llc | |
337 Market St Suite 4 Saddle Brook NJ 07663-5313 | |
(201) 880-7920 | |
(201) 880-7921 |
Full Name | Serra Associates Llc |
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Speciality | Psychologist |
Location | 337 Market St, Saddle Brook, New Jersey |
Authorized Official Name and Position | Richard J Mucowski (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2018807920 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Serra Associates Llc 337 Market St Suite 4 Saddle Brook NJ 07663-5313 Ph: (201) 880-7920 | Serra Associates Llc 337 Market St Suite 4 Saddle Brook NJ 07663-5313 Ph: (201) 880-7920 |
NPI Number | 1669769303 |
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Provider Enumeration Date | 07/01/2011 |
Last Update Date | 07/01/2011 |
Medicare PECOS PAC ID | 2062684111 |
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Medicare Enrollment ID | O20111013000400 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669769303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | SI01593 (New Jersey) | Primary |
Provider Name | Richard J Mucowski |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1518947795 PECOS PAC ID: 1557302890 Enrollment ID: I20050518000039 |
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