Organization
COGNITIVE AND BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BURNETT (BILLER)
(856) 278-4807
Entity
Organization
Contact information
Practice address
142 PALISADE AVE, JERSEY CITY, NJ 07306-1133
(856) 278-4807
Mailing address
142 PALISADE AVE, JERSEY CITY, NJ 07306-1133
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
25M09550500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396056065
NPI
NJ
Enumeration date
05/11/2017
Last updated
05/11/2017
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