Organization
DEPARTMENT OF HEALTH AND SENIOR SERVICES
Active
Other names
New Jersey Early Intervention System
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRY L HARRISON MED (HLTH SCIENCE SPECIALIST PART C COOR)
(609) 777-7734
Entity
Organization
Contact information
Practice address
50 E STATE ST, TRENTON, NJ 08608-1715
(609) 777-7734
(609) 292-0296
Mailing address
PO BOX 364, TRENTON, NJ 08625-0364
(609) 777-7734
(609) 292-0296
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056286
—
NJ
Enumeration date
03/29/2007
Last updated
08/22/2020
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