| Equip Health Medical Nj Pc | |
|
511 S Orange Ave # 2089 Newark NJ 07103-1342 | |
| (619) 350-6290 | |
| Not Available |
| Full Name | Equip Health Medical Nj Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 511 S Orange Ave # 2089, Newark, New Jersey |
| Authorized Official Name and Position | Caitlyn Defiore (DIRECTOR CLIENT STRATEGY & OPERATIO) |
| Authorized Official Contact | 5083401419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equip Health Medical Nj Pc Po Box 131747 Carlsbad CA 92013-1747 Ph: (619) 350-6290 | Equip Health Medical Nj Pc 511 S Orange Ave # 2089 Newark NJ 07103-1342 Ph: (619) 350-6290 |
| NPI Number | 1356920797 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 03/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356920797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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