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NPI Code Detail

MEDICARE: MS. ANNE LINDA HARUTUNIAN MSW, LCSW

MEDICARE: MS. ANNE LINDA HARUTUNIAN 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 Worker44SC05502500NJ

General Provider Information

NPI Number : 1649216433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNE LINDA HARUTUNIAN MSW, LCSW
Provider Business Mailing Address
First Line : 45 MALCOLM ST
Second Line :
City : WALDWICK
State : NJ
Zip : 07463-2414
Country : US
Telephone Number : 201-445-4464
Fax Number :
Provider Business Practice Location Address
First Line : 2 PARK AVE
Second Line :
City : DUMONT
State : NJ
Zip : 07628-3004
Country : US
Telephone Number : 201-385-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 03/03/2016

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