Organization
UNITY PLACE DAS PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY TISCHLER BS (EXECUTIVE DIRECTOR)
(732) 364-4466
Entity
Organization
Contact information
Practice address
1 KEYSTONE AVE, CHERRY HILL, NJ 08003-1600
(732) 364-4466
Mailing address
821 WOODLAND DR, LAKEWOOD, NJ 08701-3038
(732) 364-4466
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225827
—
NJ
Enumeration date
12/04/2014
Last updated
09/10/2025
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