| The Boundary | |
|
300 Main St Ste 65 Madison NJ 07940-2369 | |
| (646) 543-1507 | |
| Not Available |
| Full Name | The Boundary |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 Main St Ste 65, Madison, New Jersey |
| Authorized Official Name and Position | Abigale Johnson (OWNER) |
| Authorized Official Contact | 6465431507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Boundary 300 Main St. #1010 Ste 65 Madison NJ 07940 Ph: (646) 543-1507 | The Boundary 300 Main St Ste 65 Madison NJ 07940-2369 Ph: (646) 543-1507 |
| NPI Number | 1619689692 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619689692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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