Ralph Bianca, Ph.d., L.c.s.w., L.c.a.d.c, Llc | |
800 Old Springfield Ave Apt 7 Summit NJ 07901-1129 | |
(908) 312-2019 | |
Not Available |
Full Name | Ralph Bianca, Ph.d., L.c.s.w., L.c.a.d.c, Llc |
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Speciality | Clinic/Center |
Location | 800 Old Springfield Ave Apt 7, Summit, New Jersey |
Authorized Official Name and Position | Ralph Bianca (OWNER) |
Authorized Official Contact | 9083122019 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ralph Bianca, Ph.d., L.c.s.w., L.c.a.d.c, Llc 800 Old Springfield Ave Apt 7 Summit NJ 07901-1129 Ph: (908) 312-2019 | Ralph Bianca, Ph.d., L.c.s.w., L.c.a.d.c, Llc 800 Old Springfield Ave Apt 7 Summit NJ 07901-1129 Ph: (908) 312-2019 |
NPI Number | 1437657657 |
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Provider Enumeration Date | 01/23/2018 |
Last Update Date | 04/18/2022 |
Medicare PECOS PAC ID | 4981967668 |
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Medicare Enrollment ID | O20180410002957 |
Identifier | Type | State | Issuer |
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1437657657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 44SC05738400 (New Jersey) | Primary |
Provider Name | Ralph Bianca |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134630007 PECOS PAC ID: 5890058572 Enrollment ID: I20180410003019 |
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