| Nj Idtf, Llc | |
|
14 Snowhill St Spotswood NJ 08884-1358 | |
| (732) 690-5846 | |
| (732) 518-5220 |
| Full Name | Nj Idtf, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14 Snowhill St, Spotswood, New Jersey |
| Authorized Official Name and Position | Walter Husar (PRESIDENT) |
| Authorized Official Contact | 7326902875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nj Idtf, Llc 14 Snowhill St Spotswood NJ 08884-1358 Ph: (732) 690-2875 | Nj Idtf, Llc 14 Snowhill St Spotswood NJ 08884-1358 Ph: (732) 690-5846 |
| NPI Number | 1578598090 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 03/30/2025 |
| Certification Date | 03/30/2025 |
| Medicare PECOS PAC ID | 2163440892 |
|---|---|
| Medicare Enrollment ID | O20051110000536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578598090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA05323800 (New Jersey) | Primary |
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