Organization
HOLY NAME PRIMARY CARE AND SPECIALTY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BENIQUEZ PACHECO (CREDENTIALING SUPERVISOR)
(201) 833-3599
Entity
Organization
Contact information
Practice address
354 OLD HOOK RD STE 102, WESTWOOD, NJ 07675-3247
(201) 833-3000
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
05/08/2024
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