# MERIDIAN HEALTH

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

## Provider details

- **NPI number:** 1376896290
- **Authorized official:** MALLORY CHOSAK M.S., LAC, NCC (CLINICAL THERAPIST II)
- **Authorized official phone:** (732) 643-4364

## Contact information

- **Practice address:** 1200 JUMPING BROOK RD, BUILDING 5, SUITE 201-202, NEPTUNE, NJ 07753-2634
- **Practice address phone:** (732) 643-4400
- **Practice address fax:** (732) 643-4378
- **Mailing address:** 1200 JUMPING BROOK RD, BUILDING 5, SUITE 201-202, NEPTUNE, NJ 07753-2634
- **Mailing address phone:** (732) 643-4400
- **Mailing address fax:** (732) 643-4378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 37AC00133800 | NJ | Yes |

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 10/16/2012