Organization
NEW JERSEY ANYWHERE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT BULLOCK DO (OWNER)
(702) 848-2256
Entity
Organization
Contact information
Practice address
44 PRINCETON AVE STE E, BRICK, NJ 08724-3550
(702) 848-2256
(702) 485-6746
Mailing address
4029 DEAN MARTIN DR, LAS VEGAS, NV 89103-4138
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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