Charles S Borgen, | |
703 Main St, Paterson, NJ 07503-2621 | |
(973) 754-3081 | |
Not Available |
Full Name | Charles S Borgen |
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Gender | Male |
Speciality | Psychologist |
Location | 703 Main St, Paterson, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043783459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 35SI00604700 (New Jersey) | Primary |
Entity Name | New Jersey Pediatric Neuroscience Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558503672 PECOS PAC ID: 8123170222 Enrollment ID: O20090721000633 |
Mailing Address | Practice Location Address |
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Charles S Borgen, 750 N Broad St Apt 5b, Elizabeth, NJ 07208-2424 Ph: (347) 346-1156 | Charles S Borgen, 703 Main St, Paterson, NJ 07503-2621 Ph: (973) 754-3081 |
Dr. Paul F. Fulford Sr., PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Hamilton Plz, Suite 520, Paterson, NJ 07505 Phone: 973-278-1203 Fax: 973-684-6784 | |
Harold Altman, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 56 Hamilton St, Suite 4, Paterson, NJ 07505 Phone: 973-754-4750 | |
Dr. Christine Karounos, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000 | |
Teissy Meza, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Department-pediatrics, Paterson, NJ 07503 Phone: 973-754-2510 | |
Elizabeth Stacom, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-3081 | |
Dr. Kenya Tremane Humphries, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 502 East 36ht St, Paterson, NJ 07504 Phone: 973-278-8252 |