Wolman Mediation Group Llc | |
364 Madison Ave Cresskill NJ 07626-1300 | |
(201) 470-3777 | |
Not Available |
Full Name | Wolman Mediation Group Llc |
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Speciality | Social Worker |
Location | 364 Madison Ave, Cresskill, New Jersey |
Authorized Official Name and Position | Lisa Wolman (OWNER) |
Authorized Official Contact | 2014703777 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wolman Mediation Group Llc 364 Madison Ave Cresskill NJ 07626-1300 Ph: () - | Wolman Mediation Group Llc 364 Madison Ave Cresskill NJ 07626-1300 Ph: (201) 470-3777 |
NPI Number | 1588259378 |
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Provider Enumeration Date | 03/04/2021 |
Last Update Date | 03/04/2021 |
Certification Date | 03/04/2021 |
Medicare PECOS PAC ID | 0941617989 |
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Medicare Enrollment ID | O20210318001614 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588259378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lisa Wolman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205309127 PECOS PAC ID: 3476960410 Enrollment ID: I20210318001710 |
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