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300 Perrine Rd Ste 314 Old Bridge NJ 08857-3628 | |
| (732) 790-5890 | |
| (732) 790-5991 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 300 Perrine Rd Ste 314, Old Bridge, New Jersey |
| Authorized Official Name and Position | Sheema Imran (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9082830490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 Perrine Rd Ste 314 Old Bridge NJ 08857-3628 Ph: (732) 790-5890 | 300 Perrine Rd Ste 314 Old Bridge NJ 08857-3628 Ph: (732) 790-5890 |
| NPI Number | 1184436198 |
|---|---|
| Provider Enumeration Date | 01/25/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184436198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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