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Organization
EAST ORANGE GENERAL HOSPITAL
Active
Organization
EAST ORANGE GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA C MELVILLE-BACON PHD- COUNSELING (MENTAL HEALTH CLINICIAN/SCREENER)
(973) 743-3412
Entity
Organization
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 266-4478
(973) 266-4445
Mailing address
35 DIVISION ST, FLOOR 1, BLOOMFIELD, NJ 07003-3623
(973) 743-3412
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
44SW00925700
NJ
Other
Enumeration date
12/09/2013
Last updated
01/09/2014
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