| Pjo Health Services LLC | |
|
1200 S Church St Ste 3 Mount Laurel NJ 08054-2936 | |
| (856) 359-4799 | |
| (856) 249-9068 |
| Full Name | Pjo Health Services LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1200 S Church St Ste 3, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Julietteosborne Osborne (CEO) |
| Authorized Official Contact | 8563564799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pjo Health Services LLC 1200 S Church St Ste 3 Mount Laurel NJ 08054-2936 Ph: (856) 359-4799 | Pjo Health Services LLC 1200 S Church St Ste 3 Mount Laurel NJ 08054-2936 Ph: (856) 359-4799 |
| NPI Number | 1548880941 |
|---|---|
| Provider Enumeration Date | 04/26/2020 |
| Last Update Date | 08/22/2024 |
| Certification Date | 08/22/2024 |
| Medicare PECOS PAC ID | 4385012897 |
|---|---|
| Medicare Enrollment ID | O20221115000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548880941 | NPI | - | NPPES |
| 691828 | Medicaid | NJ |
| Provider Name | Juliette Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417513599 PECOS PAC ID: 6608103445 Enrollment ID: I20190816000269 |
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