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NPI Code Detail

MEDICARE: MS. MADELEINE SANDRA GERBER MSW LCSW

MEDICARE:  MS. MADELEINE SANDRA GERBER  MSW 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 Worker44SC00158600NJ

General Provider Information

NPI Number : 1548327836
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MADELEINE SANDRA GERBER MSW LCSW
Provider Business Mailing Address
First Line : 261 SOUTH ADELAIDE AVE
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1605
Country : US
Telephone Number : 732-247-1819
Fax Number : 732-247-1819
Provider Business Practice Location Address
First Line : 261 SOUTH ADELAIDE AVE
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-1605
Country : US
Telephone Number : 732-247-1819
Fax Number : 732-247-1819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MADELEINE SANDRA GERBER MSW LCSW” Practice Location

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