Organization
IMEM CLINICAL ASSOCIATES OF NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENACHEM LICHTER (MANAGING MEMBER)
(845) 697-0000
Entity
Organization
Contact information
Practice address
686 CROSS STREET, LAKEWOOD, NJ 08701
(845) 697-0000
Mailing address
686 CROSS STREET, LAKEWOOD, NJ 08701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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