| Beacon Health And Wellness Llc | |
|
201 Montgomery St Ste 2 Jersey City NJ 07302-5052 | |
| (201) 776-8610 | |
| Not Available |
| Full Name | Beacon Health And Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 201 Montgomery St Ste 2, Jersey City, New Jersey |
| Authorized Official Name and Position | Patrick Ernesto Digenova (FOUNDER) |
| Authorized Official Contact | 2017768610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Health And Wellness Llc 89 Central Ave Jersey City NJ 07306-2124 Ph: (201) 776-8610 | Beacon Health And Wellness Llc 201 Montgomery St Ste 2 Jersey City NJ 07302-5052 Ph: (201) 776-8610 |
| NPI Number | 1033708698 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 01/18/2021 |
| Certification Date | 01/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033708698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Secondary |
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