Organization
MEDALLION CARE TRENTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DEUTSCH (EXECUTIVE DIRECTOR)
(609) 686-0700
Entity
Organization
Contact information
Practice address
1 ELECTRONICS DR, HAMILTON, NJ 08619-2054
(609) 586-0700
(609) 586-0766
Mailing address
1 ELECTRONICS DR, HAMILTON, NJ 08619-2054
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0364223
—
NJ
Enumeration date
09/09/2013
Last updated
09/09/2013
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