# MOSAIC HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043476088
- **Authorized official:** JESSICA BOWERS-PEPE DO (MEDICAL DIRECTOR)
- **Authorized official phone:** (609) 482-3701

## Contact information

- **Practice address:** 136 FRANKLIN CORNER RD, LAWRENCEVILLE, NJ 08648-2586
- **Practice address phone:** (609) 482-3701
- **Mailing address:** 993 LENOX DR, SUITE 200, LAWRENCEVILLE, NJ 08648-2316
- **Mailing address phone:** (609) 482-3701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NJ | — |
| 2084P0800X | Psychiatry Physician | — | NJ | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NJ | — |
| 208D00000X | General Practice Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 07/30/2008
- **Last updated:** 01/05/2009
