Organization
GALLANT MINDS PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN-MARIE FAITH ANTHONY (OWNER)
(640) 204-5246
Entity
Organization
Contact information
Practice address
108 WATCHUNG AVE # 1010, PLAINFIELD, NJ 07060-1251
(640) 204-5246
Mailing address
108 WATCHUNG AVE # 1010, PLAINFIELD, NJ 07060-1251
(640) 204-5246
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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