| Tara Harkins Llc | |
|
550 Kinderkamack Rd Ste 126 Oradell NJ 07649-1500 | |
| (201) 903-2466 | |
| Not Available |
| Full Name | Tara Harkins Llc |
|---|---|
| Speciality | Social Worker |
| Location | 550 Kinderkamack Rd Ste 126, Oradell, New Jersey |
| Authorized Official Name and Position | Tara Harkins (OWNER) |
| Authorized Official Contact | 2019032466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Harkins Llc 376 Oradell Ave Oradell NJ 07649-1729 Ph: (201) 483-8693 | Tara Harkins Llc 550 Kinderkamack Rd Ste 126 Oradell NJ 07649-1500 Ph: (201) 903-2466 |
| NPI Number | 1134750904 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Certification Date | 01/30/2020 |
| Medicare PECOS PAC ID | 2769810928 |
|---|---|
| Medicare Enrollment ID | O20200323000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134750904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tara Marie Harkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245755040 PECOS PAC ID: 2769810936 Enrollment ID: I20200323000060 |
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