| Theracare Of New Jersey Llc | |
|
6981 N Park Dr West Building Suite 504 Pennsauken NJ 08109-4205 | |
| (800) 393-1306 | |
| Not Available |
| Full Name | Theracare Of New Jersey Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6981 N Park Dr, Pennsauken, New Jersey |
| Authorized Official Name and Position | John Calderon (PRESIDENT) |
| Authorized Official Contact | 2125642350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theracare Of New Jersey Llc 6981 N Park Dr West Building Suite 504 Pennsauken NJ 08109-4205 Ph: (800) 393-1306 | Theracare Of New Jersey Llc 6981 N Park Dr West Building Suite 504 Pennsauken NJ 08109-4205 Ph: (800) 393-1306 |
| NPI Number | 1679619126 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679619126 | NPI | - | NPPES |
| 0020214 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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