| Richard Poresky | |
|
1541 Rte 37 E Ste D Toms River NJ 08753-5717 | |
| (732) 673-7305 | |
| (732) 929-8915 |
| Full Name | Richard Poresky |
|---|---|
| Speciality | Social Worker |
| Location | 1541 Rte 37 E Ste D, Toms River, New Jersey |
| Authorized Official Name and Position | Richard J Poresky (LCSW) |
| Authorized Official Contact | 7326737305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Poresky 1541 Rte 37 E Ste D Toms River NJ 08753-5717 Ph: (732) 673-7305 | Richard Poresky 1541 Rte 37 E Ste D Toms River NJ 08753-5717 Ph: (732) 673-7305 |
| NPI Number | 1841472545 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 07/08/2011 |
| Medicare PECOS PAC ID | 8123088960 |
|---|---|
| Medicare Enrollment ID | O20041015000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841472545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard J Poresky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417036724 PECOS PAC ID: 7113987942 Enrollment ID: I20041015000103 |
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