| Brain Institute Of Northern New Jersey Pa | |
|
8 S Morris St Suite 302 Dover NJ 07801-4649 | |
| (646) 712-1635 | |
| (866) 267-8173 |
| Full Name | Brain Institute Of Northern New Jersey Pa |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8 S Morris St, Dover, New Jersey |
| Authorized Official Name and Position | Lydia Shajenko (PRESIDENT) |
| Authorized Official Contact | 6467121635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Institute Of Northern New Jersey Pa 725 River Rd Suite 106 Edgewater NJ 07020-1171 Ph: (646) 712-1635 | Brain Institute Of Northern New Jersey Pa 8 S Morris St Suite 302 Dover NJ 07801-4649 Ph: (646) 712-1635 |
| NPI Number | 1922388008 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 08/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922388008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 25MA08061700 (New Jersey) | Primary |
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