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Organization
PREMIER MEDICAL ASSOCIATES
Active
Organization
PREMIER MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE MIGLIACCIO (MANAGER)
(813) 539-1543
Entity
Organization
Contact information
Practice address
231 CROSSWICKS RD, SUITE 11, BORDENTOWN, NJ 08505-2602
(609) 298-7204
Mailing address
231 CROSSWICKS RD, SUITE 11, BORDENTOWN, NJ 08505-2602
(609) 298-7204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SW00969100
NJ
1041C0700X
Clinical Social Worker
Primary
44SW00969100
NJ
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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