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Individual

THOMAS LUSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PEER SPECIALIST

Contact information

Practice address
540 BORDENTOWN AVE STE 203, SOUTH AMBOY, NJ 08879-1546
(732) 963-2626
Mailing address
180 JEROME PL, BLOOMFIELD, NJ 07003-8908
(732) 853-7168

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
37LC00232300
NJ
251B00000X
Case Management Agency
Primary
37LC00232300
NJ

Other

Enumeration date
04/10/2024
Last updated
04/10/2024
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