| Raja Salloum | |
|
45 Park St Montclair NJ 07042-3439 | |
| (201) 887-6678 | |
| Not Available |
| Full Name | Raja Salloum |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 45 Park St, Montclair, New Jersey |
| Authorized Official Name and Position | Yasmen Eissa (PRACTICE MANAGER) |
| Authorized Official Contact | 2014241687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raja Salloum 48 Greenlawn Ave Clifton NJ 07013-3212 Ph: (201) 887-6678 | Raja Salloum 45 Park St Montclair NJ 07042-3439 Ph: (201) 887-6678 |
| NPI Number | 1942708102 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942708102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC054551000 (New Jersey) | Primary |
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