Organization
MOSAIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BOWERS-PEPE DO (MEDICAL DIRECTOR)
(609) 482-3701
Entity
Organization
Contact information
Practice address
136 FRANKLIN CORNER RD, LAWRENCEVILLE, NJ 08648-2586
(609) 482-3701
Mailing address
993 LENOX DR, SUITE 200, LAWRENCEVILLE, NJ 08648-2316
(609) 482-3701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NJ
2084P0800X
Psychiatry Physician
—
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
—
NJ
208D00000X
General Practice Physician
Primary
—
NJ
Other
Enumeration date
07/30/2008
Last updated
01/05/2009
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