Healthcare Provider Details

I. General information

NPI: 1942038849
Provider Name (Legal Business Name): ADRIANNE CIUBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2024
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 NEW YORK AVE
EGG HARBOR CITY NJ
08215-1606
US

IV. Provider business mailing address

3413 LISBON AVE
TOMS RIVER NJ
08753-4821
US

V. Phone/Fax

Practice location:
  • Phone: 609-593-3560
  • Fax:
Mailing address:
  • Phone: 973-309-2399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: