NPI Profile for QUICKMD MEDICAL GROUP OF NJ PA in SADDLE BROOK, NJ.
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI Number | 1063140697 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/11/2022 | |
| Last updated | 01/15/2024 - About 2 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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QUICKMD MEDICAL GROUP OF NJ PA
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