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Organization
MIND BODY MEDICAL SERVICES, P.C., OF NJ
Active
Organization
MIND BODY MEDICAL SERVICES, P.C., OF NJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA HOLLANDER MPH (CARE OPERATIONS MANAGER)
(888) 729-1971
Entity
Organization
Contact information
Practice address
1136 5TH AVE APT 7B, NEW YORK, NY 10128-0122
(888) 729-1971
Mailing address
1136 5TH AVE APT 7B, NEW YORK, NY 10128-0122
(888) 729-1971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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