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Organization
CENTER FOR HEALTH EDUCATION AND DENTISTRY
Active
Organization
CENTER FOR HEALTH EDUCATION AND DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAYA GRADY (CREDENTIALING SPECIALIST)
(732) 364-2144
Entity
Organization
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1251
(732) 364-2144
Mailing address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1251
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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