Whidbey Island Public Hospital District | |
2185 Lemoine Ave Ste 1c Fort Lee NJ 07024-6030 | |
(360) 678-5151 | |
(360) 678-7676 |
Full Name | Whidbey Island Public Hospital District |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2185 Lemoine Ave Ste 1c, Fort Lee, New Jersey |
Authorized Official Name and Position | Ronald Telles (CEO) |
Authorized Official Contact | 3606787656 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Whidbey Island Public Hospital District 101 N Main St Coupeville WA 98239-3413 Ph: (360) 678-7656 | Whidbey Island Public Hospital District 2185 Lemoine Ave Ste 1c Fort Lee NJ 07024-6030 Ph: (360) 678-5151 |
NPI Number | 1255936597 |
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Provider Enumeration Date | 12/03/2020 |
Last Update Date | 12/03/2020 |
Certification Date | 12/03/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255936597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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