Organization
COMMUNITIES UNITED HEALTHCARE CORPORATION
Active
Organization
COMMUNITIES UNITED HEALTHCARE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN E DUNGA PHD (PRESIDENT/CEO)
(862) 223-6324
Entity
Organization
Contact information
Practice address
800 BROAD ST, SUITE EDISON PL., NEWARK, NJ 07102-2760
(973) 242-5588
Mailing address
39 CLEREMONT AVE, IRVINGTON, NJ 07111-3126
(862) 223-6324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC01301800
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05161500
NJ
225C00000X
Rehabilitation Counselor
37PC00373000
NJ
225X00000X
Occupational Therapist
46TR00426600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521121
MEDICARE
NJ
Enumeration date
09/08/2009
Last updated
09/08/2009
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