| Whidbey Island Public Hospital District | |
|
2185 Lemoine Ave Ste 1c Fort Lee NJ 07024-6030 | |
| (360) 678-5151 | |
| (360) 678-7676 |
| Full Name | Whidbey Island Public Hospital District |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2185 Lemoine Ave Ste 1c, Fort Lee, New Jersey |
| Authorized Official Name and Position | Ronald Telles (CEO) |
| Authorized Official Contact | 3606787656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whidbey Island Public Hospital District 101 N Main St Coupeville WA 98239-3413 Ph: (360) 678-7656 | Whidbey Island Public Hospital District 2185 Lemoine Ave Ste 1c Fort Lee NJ 07024-6030 Ph: (360) 678-5151 |
| NPI Number | 1255936597 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255936597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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