Organization
EASTER SEALS NEW JERSEY
Active
Other names
ESNJ - Pine Hill SA (B)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J FITZGERALD (PRESIDENT)
(732) 257-6662
Entity
Organization
Contact information
Practice address
828 BLACKWOOD CLEMENTON ROAD, CHATEAU RIDGE APTS, #I 174 & 177, PINE HILL, NJ 08021
(856) 627-2808
(856) 309-5674
Mailing address
25 KENNEDY BLVD, SUITE 600, EAST BRUNSWICK, NJ 08816-1259
(732) 257-6662
(732) 257-7373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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