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NPI Code Detail

MEDICARE: MEDPSYCH ASSOCIATES OF NEW JERSEY LLC

MEDICARE: MEDPSYCH ASSOCIATES OF NEW JERSEY LLC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1649718685
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDPSYCH ASSOCIATES OF NEW JERSEY LLC
Provider Business Mailing Address
First Line : 545 ISLAND RD STE 2B
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2822
Country : US
Telephone Number : 201-995-1004
Fax Number : 201-345-7121
Provider Business Practice Location Address
First Line : 545 ISLAND RD STE 2B
Second Line :
City : RAMSEY
State : NJ
Zip : 07446-2822
Country : US
Telephone Number : 201-995-1004
Fax Number : 201-345-7121
Authorized Official
Title or Position : OWNER
Name : DR. MOHAB HANNA
Credential : M.D.
Telephone Number : 201-995-1004
Provider Enumeration Date : 02/10/2017
Last Update Date : 02/10/2017

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Directions to “MEDPSYCH ASSOCIATES OF NEW JERSEY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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