Organization
UNITY PLACE OF ATLANTIC COUNTY, LLC
Active
Organization
UNITY PLACE OF ATLANTIC COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY TISCHLER (AUTHORIZED OFFICIAL)
(347) 242-6502
Entity
Organization
Contact information
Practice address
121 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-1871
(609) 704-1313
Mailing address
821 WOODLAND DR, LAKEWOOD, NJ 08701-3038
(347) 242-6502
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461938
—
NJ
Enumeration date
09/29/2017
Last updated
09/29/2017
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