| John B Hudome Innovative Consulting Llc | |
|
105 E Main St Maple Shade NJ 08052-2621 | |
| (856) 438-5256 | |
| Not Available |
| Full Name | John B Hudome Innovative Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 105 E Main St, Maple Shade, New Jersey |
| Authorized Official Name and Position | John B Hudome (OWNER) |
| Authorized Official Contact | 8564385256 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John B Hudome Innovative Consulting Llc 105 E Main St Maple Shade NJ 08052-2621 Ph: (856) 438-5256 | John B Hudome Innovative Consulting Llc 105 E Main St Maple Shade NJ 08052-2621 Ph: (856) 438-5256 |
| NPI Number | 1205169968 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 09/14/2009 |
| Medicare PECOS PAC ID | 7618023672 |
|---|---|
| Medicare Enrollment ID | O20090917000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205169968 | NPI | - | NPPES |
| Provider Name | John B Hudome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710009758 PECOS PAC ID: 3072669035 Enrollment ID: I20090917000016 |
Neurological Regional Associates, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 504 Route 38 E, Maple Shade, NJ 08052 Phone: 856-866-0466 Fax: 856-727-1483 | |
New Jersey Mental Health And Nutritional Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Marigold Dr Apt B, Maple Shade, NJ 08052 Phone: 732-344-0604 |