| Mindscope Medicine | |
|
813 Greenway Blvd Roselle NJ 07203-3041 | |
| (732) 707-7553 | |
| Not Available |
| Full Name | Mindscope Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 813 Greenway Blvd, Roselle, New Jersey |
| Authorized Official Name and Position | Raed Odeh (OWNER) |
| Authorized Official Contact | 7327077553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindscope Medicine 813 Greenway Blvd Roselle NJ 07203-3041 Ph: (347) 707-6000 | Mindscope Medicine 813 Greenway Blvd Roselle NJ 07203-3041 Ph: (732) 707-7553 |
| NPI Number | 1699574608 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699574608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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