| Coxphit Llc | |
|
511 Harmon Cove Tower # 1 Secaucus NJ 07094-1707 | |
| (201) 655-9105 | |
| Not Available |
| Full Name | Coxphit Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 511 Harmon Cove Tower # 1, Secaucus, New Jersey |
| Authorized Official Name and Position | Jonathan B Cox (MANAGING DIRECTOR) |
| Authorized Official Contact | 2016559105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coxphit Llc 511 Harmon Cove Tower Secaucus NJ 07094-1707 Ph: (201) 655-9105 | Coxphit Llc 511 Harmon Cove Tower # 1 Secaucus NJ 07094-1707 Ph: (201) 655-9105 |
| NPI Number | 1700505195 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 08/26/2022 |
| Certification Date | 08/26/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700505195 | NPI | - | NPPES |
| 1861865925 | Medicaid | NJ | |
| 1225547862 | Medicaid | NJ | |
| 1730734583 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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