Organization
NEW AGE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAFEER A ANSARI D.O. (DOCTOR)
(918) 810-7864
Entity
Organization
Contact information
Practice address
480 JACKSON RD, ATCO, NJ 08004-1651
(856) 767-5020
(856) 768-3541
Mailing address
4 SADDLEBURY CT, MOUNT LAUREL, NJ 08054-9628
(918) 810-7864
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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