Organization
BEACON HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK ERNESTO DIGENOVA MD (FOUNDER)
(201) 776-8610
Entity
Organization
Contact information
Practice address
201 MONTGOMERY ST STE 2, JERSEY CITY, NJ 07302-5052
(201) 776-8610
Mailing address
89 CENTRAL AVE, JERSEY CITY, NJ 07306-2124
(201) 776-8610
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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