Organization
GARS SWITCH OUT PROGRAM
Active
Other names
GENUNE ADVOCATE RESOURCES
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON G ALLEN FUNDENBERG MEDICAL CONSULTANT (PRESIDENT)
(856) 822-0453
Entity
Organization
Contact information
Practice address
1172 TRISTRAM CIR, MANTUA, NJ 08051-2205
(856) 822-0453
(856) 539-5820
Mailing address
1172 TRISTRAM CIR, MANTUA, NJ 08051-2205
(856) 822-0453
(856) 539-5820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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