Well America Inc | |
79 Ogle Rd Old Tappan NJ 07675-7026 | |
(302) 526-4547 | |
(302) 469-2115 |
Full Name | Well America Inc |
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Speciality | Psychologist |
Location | 79 Ogle Rd, Old Tappan, New Jersey |
Authorized Official Name and Position | Yasir J. Ahmad (OWNER) |
Authorized Official Contact | 3025264547 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Well America Inc 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (302) 526-4547 | Well America Inc 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (302) 526-4547 |
NPI Number | 1083350938 |
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Provider Enumeration Date | 05/12/2022 |
Last Update Date | 05/12/2022 |
Certification Date | 04/28/2022 |
Medicare PECOS PAC ID | 0446629646 |
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Medicare Enrollment ID | O20221209002548 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083350938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Janet Barber |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023175973 PECOS PAC ID: 1557743788 Enrollment ID: I20221209002599 |
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