Organization
THE NEW JERSEY INSTITUTE OF NEURBEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRAGONIER GILLOCK ED.D. (DIRECTOR OF CLINICAL SERVICES)
(908) 604-1100
Entity
Organization
Contact information
Practice address
665 MARTINSVILLE RD, RIVERWALK VILLAGE CENTER, SUITE 218, BASKING RIDGE, NJ 07920-4700
(908) 604-1100
(908) 607-1866
Mailing address
665 MARTINSVILLE RD, RIVERWALK VILLAGE CENTER, SUITE 218, BASKING RIDGE, NJ 07920-4700
(908) 604-1100
(908) 607-1866
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1838
NJ
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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