| Roslyn Blau Lcsw Llc | |
|
405 Bridge Plaza Dr Manalapan NJ 07726-1735 | |
| (732) 617-2177 | |
| (732) 617-2176 |
| Full Name | Roslyn Blau Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 405 Bridge Plaza Dr, Manalapan, New Jersey |
| Authorized Official Name and Position | Roslyn Blau (OWNER) |
| Authorized Official Contact | 7326172177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roslyn Blau Lcsw Llc 405 Bridge Plaza Dr Manalapan NJ 07726-1735 Ph: (732) 617-2177 | Roslyn Blau Lcsw Llc 405 Bridge Plaza Dr Manalapan NJ 07726-1735 Ph: (732) 617-2177 |
| NPI Number | 1124202213 |
|---|---|
| Provider Enumeration Date | 12/25/2007 |
| Last Update Date | 12/25/2007 |
| Medicare PECOS PAC ID | 1355421140 |
|---|---|
| Medicare Enrollment ID | O20080107000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124202213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC04318700 (New Jersey) | Primary |
| Provider Name | Roslyn Blau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528160678 PECOS PAC ID: 6204883531 Enrollment ID: I20050412000160 |
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