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86 Brunswick Woods Dr East Brunswick NJ 08816-5601 | |
| (973) 207-6834 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 86 Brunswick Woods Dr, East Brunswick, New Jersey |
| Authorized Official Name and Position | Alla Krutyansky (PRESIDENT/CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9732076834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5 Roxy Ct Farmingdale NJ 07727-4203 Ph: (973) 207-6834 | 86 Brunswick Woods Dr East Brunswick NJ 08816-5601 Ph: (973) 207-6834 |
| NPI Number | 1790284909 |
|---|---|
| Provider Enumeration Date | 02/03/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790284909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New Jersey) | Primary |
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