Organization
MARINA BEHAVIORAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA HAGHOUR-VWICH MD (OWNER)
(862) 221-2604
Entity
Organization
Contact information
Practice address
401 HAMBURG TPKE, SUITE # 302, WAYNE, NJ 07470-2154
(862) 221-2604
Mailing address
PO BOX 2285, WAYNE, NJ 07474-2285
(862) 221-2604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08679700
NJ
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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