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257 Us Highway 22 Suite B Green Brook NJ 08812-1807 | |
(908) 516-8422 | |
Not Available |
Full Name | |
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Speciality | Psychologist |
Location | 257 Us Highway 22, Green Brook, New Jersey |
Authorized Official Name and Position | Vanessa H. Chafos (FOUNDER) |
Authorized Official Contact | 9085168422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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P.o. Box 629 Princeton NJ 08542-0629 Ph: (908) 516-8422 | 257 Us Highway 22 Suite B Green Brook NJ 08812-1807 Ph: (908) 516-8422 |
NPI Number | 1366829079 |
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Provider Enumeration Date | 05/01/2015 |
Last Update Date | 04/28/2023 |
Certification Date | 04/28/2023 |
Medicare PECOS PAC ID | 6002349131 |
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Medicare Enrollment ID | O20241029001226 |
Identifier | Type | State | Issuer |
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1366829079 | NPI | - | NPPES |
Provider Name | Vanessa H. Chafos |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295121739 PECOS PAC ID: 7810420940 Enrollment ID: I20241029001413 |
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