| Medical Intervention For Individuals Addicted Inc. | |
|
408 Bethel Rd Bldg B Suite 2 Somers Point NJ 08244-2172 | |
| (609) 593-3076 | |
| (609) 861-5373 |
| Full Name | Medical Intervention For Individuals Addicted Inc. |
|---|---|
| Speciality | General Practice |
| Location | 408 Bethel Rd, Somers Point, New Jersey |
| Authorized Official Name and Position | James J Manlandro (OWNER) |
| Authorized Official Contact | 6095933076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Intervention For Individuals Addicted Inc. 408 Bethel Rd Bldg B Suite 2 Somers Point NJ 08244-2172 Ph: (609) 593-3076 | Medical Intervention For Individuals Addicted Inc. 408 Bethel Rd Bldg B Suite 2 Somers Point NJ 08244-2172 Ph: (609) 593-3076 |
| NPI Number | 1730243122 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730243122 | NPI | - | NPPES |
| 2905809 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 208D00000X (New Jersey) | Primary |
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