| Interval Health Llc | |
|
476 South Ave E Cranford NJ 07016-3204 | |
| (973) 337-0586 | |
| Not Available |
| Full Name | Interval Health Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 476 South Ave E, Cranford, New Jersey |
| Authorized Official Name and Position | Jennifer Lynn Perera (MEMBER) |
| Authorized Official Contact | 9733370586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interval Health Llc Po Box 14 Summit NJ 07902-0014 Ph: (973) 337-0586 | Interval Health Llc 476 South Ave E Cranford NJ 07016-3204 Ph: (973) 337-0586 |
| NPI Number | 1174013262 |
|---|---|
| Provider Enumeration Date | 05/14/2018 |
| Last Update Date | 03/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174013262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05720200 (New Jersey) | Primary |
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