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Organization
BRIGHTLINE MEDICAL ASSOCIATES OF NEW JERSEY, INC.
Active
Organization
BRIGHTLINE MEDICAL ASSOCIATES OF NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRETT DWYER (CHIEF FINANCIAL OFFICER)
(888) 224-7332
Entity
Organization
Contact information
Practice address
400 CONCAR DR, SAN MATEO, CA 94402-2681
(888) 224-7332
Mailing address
400 CONCAR DR, SAN MATEO, CA 94402-2681
(888) 224-7332
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/13/2024
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