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Contact Information

ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING-GERIATRIC PSYCHIATRY
42 EAST LAUREL ROAD
UDP, SUITE 1800
STRATFORD, NJ08084
 Phone: 856-566-6843
 Fax: 856-566-6419
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Neuropsychologist

103G00000X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROWANSOM NEWJERSEY INSTITUTE FOR SUCCESSFUL AGING GERIATRIC PSYCHIATRY · (Female)

NPI # 1881668846
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2006
Last updated 05/15/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 7851006
  • NJ Other CK3636 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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