Organization
NORTH JERSEY BEHAVIORAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA S ISMAIL MD (ADULT AND PEDIATRIC PSYCHIATRIST)
(201) 669-2880
Entity
Organization
Contact information
Practice address
2 EXECUTIVE DR, SUITE 665, FORT LEE, NJ 07024-3308
(201) 669-2880
Mailing address
2 EXECUTIVE DR, SUITE 665, FORT LEE, NJ 07024-3308
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
37PC00296100
NJ
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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