| Vitalink | |
|
120 Halcyon Pl Roselle NJ 07203-1512 | |
| (908) 620-1517 | |
| Not Available |
| Full Name | Vitalink |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 120 Halcyon Pl, Roselle, New Jersey |
| Authorized Official Name and Position | Gregory Ingram (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9086201517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalink 210 E 2nd Ave Roselle NJ 07203-1306 Ph: (908) 620-1517 | Vitalink 120 Halcyon Pl Roselle NJ 07203-1512 Ph: (908) 620-1517 |
| NPI Number | 1861827362 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861827362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05532900 (New Jersey) | Primary |
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