Essex Health Center Pa | |
11 Mountain Ridge Dr Livingston NJ 07039-3408 | |
(973) 266-2905 | |
Not Available |
Full Name | Essex Health Center Pa |
---|---|
Speciality | Psychiatry & Neurology - Psychosomatic Medicine |
Location | 11 Mountain Ridge Dr, Livingston, New Jersey |
Authorized Official Name and Position | Dharamsi D Shah (PRESIDENT) |
Authorized Official Contact | 9732662905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Essex Health Center Pa 11 Mountain Ridge Dr Livingston NJ 07039-3408 Ph: (973) 266-2905 | Essex Health Center Pa 11 Mountain Ridge Dr Livingston NJ 07039-3408 Ph: (973) 266-2905 |
NPI Number | 1053537019 |
---|---|
Provider Enumeration Date | 04/18/2007 |
Last Update Date | 04/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053537019 | NPI | - | NPPES |
2970104 | Medicaid | NJ | |
4946103 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 25MA03373200 (New Jersey) | Primary |
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