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Contact Information

ESSEX HEALTH CENTER PA
11 MOUNTAIN RIDGE DR
LIVINGSTON, NJ07039-3408
 Phone: 973-266-2905
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ESSEX HEALTH CENTER PA · (Female)

NPI # 1053537019
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2007
Last updated 04/24/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 25MA03373200
  • NJ Medicaid 2970104
  • NJ Medicaid 4946103
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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