| Two Poles Press, Llc | |
|
69 Tulip St Bergenfield NJ 07621-3816 | |
| (201) 390-7303 | |
| Not Available |
| Full Name | Two Poles Press, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 69 Tulip St, Bergenfield, New Jersey |
| Authorized Official Name and Position | Elizabeth R Burchard (OWNER) |
| Authorized Official Contact | 2013907303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Poles Press, Llc 69 Tulip St Bergenfield NJ 07621-3816 Ph: (201) 390-7303 | Two Poles Press, Llc 69 Tulip St Bergenfield NJ 07621-3816 Ph: (201) 390-7303 |
| NPI Number | 1326757378 |
|---|---|
| Provider Enumeration Date | 11/18/2022 |
| Last Update Date | 11/18/2022 |
| Certification Date | 11/18/2022 |
| Medicare PECOS PAC ID | 2264802776 |
|---|---|
| Medicare Enrollment ID | O20221227002203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326757378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth R Burchard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336610591 PECOS PAC ID: 2163892670 Enrollment ID: I20221227002294 |
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