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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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