| Kim Comerford Llc | |
|
6 White Horse Pike Suite 1b Haddon Heights NJ 08035-1246 | |
| (609) 458-2799 | |
| Not Available |
| Full Name | Kim Comerford Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6 White Horse Pike, Haddon Heights, New Jersey |
| Authorized Official Name and Position | Kimberlee F Comerford (OWNER) |
| Authorized Official Contact | 6094582799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Comerford Llc 43 Michaelson Dr Mount Laurel NJ 08054-1355 Ph: (609) 458-2799 | Kim Comerford Llc 6 White Horse Pike Suite 1b Haddon Heights NJ 08035-1246 Ph: (609) 458-2799 |
| NPI Number | 1154674695 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 01/24/2017 |
| Medicare PECOS PAC ID | 4981910361 |
|---|---|
| Medicare Enrollment ID | O20150831001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154674695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC01173000 (New Jersey) | Primary |
| Provider Name | Kimberlee F Comerford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295869691 PECOS PAC ID: 1355518184 Enrollment ID: I20120119000636 |
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