Weiner Goldsmith Development Associates Llc | |
134 W End Ave Second Floor Somerville NJ 08876-1816 | |
(732) 977-9104 | |
(908) 685-2137 |
Full Name | Weiner Goldsmith Development Associates Llc |
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Speciality | Psychologist |
Location | 134 W End Ave, Somerville, New Jersey |
Authorized Official Name and Position | Ruth Leslie Goldsmith (PRESIDENT) |
Authorized Official Contact | 7329779104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Weiner Goldsmith Development Associates Llc 134 W End Ave Second Floor Somerville NJ 08876-1816 Ph: (732) 977-9104 | Weiner Goldsmith Development Associates Llc 134 W End Ave Second Floor Somerville NJ 08876-1816 Ph: (732) 977-9104 |
NPI Number | 1881922458 |
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Provider Enumeration Date | 11/19/2009 |
Last Update Date | 11/19/2009 |
Medicare PECOS PAC ID | 1850725714 |
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Medicare Enrollment ID | O20191231000661 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881922458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 4137 (New Jersey) | Primary |
Provider Name | Ruth L Goldsmith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275098840 PECOS PAC ID: 1456388784 Enrollment ID: I20050728000180 |
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