Organization
JOHN T. MIELE, PH.D.
Active
Organization
JOHN T. MIELE, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MIELE (OWNER)
(973) 464-9639
Entity
Organization
Contact information
Practice address
1605 JOHN ST, 314, FORT LEE, NJ 07024-2575
(973) 464-9639
Mailing address
112 DULLES DR, DUMONT, NJ 07628-3620
(973) 464-9639
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35S100441900
NJ
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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