Organization
BE AT EASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN M KOSTERA APN (APN)
(609) 652-3358
Entity
Organization
Contact information
Practice address
1125 ATLANTIC AVE STE 105, ATLANTIC CITY, NJ 08401-4806
(609) 340-8200
Mailing address
1125 ATLANTIC AVE STE 105, ATLANTIC CITY, NJ 08401-4806
(609) 340-8200
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
26NJ00102100
NJ
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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