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NPI Code Detail

MEDICARE: NICHOLAS T. BRATIS LCSW

MEDICARE:   NICHOLAS T. BRATIS  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC00097400NJ

General Provider Information

NPI Number : 1629115118
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS T. BRATIS LCSW
Provider Business Mailing Address
First Line : 327 SUZANNE AVE
Second Line :
City : NORTH CAPE MAY
State : NJ
Zip : 08204-3465
Country : US
Telephone Number : 609-886-3742
Fax Number :
Provider Business Practice Location Address
First Line : 327 SUZANNE AVE
Second Line :
City : NORTH CAPE MAY
State : NJ
Zip : 08204-3465
Country : US
Telephone Number : 609-886-3742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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Directions to “ NICHOLAS T. BRATIS LCSW” Practice Location

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