Organization
CENTER FOR HEALTH EDUCATION AND DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAYA GRADY (CREDENTIALING SPECIALIST)
(732) 364-2144
Entity
Organization
Contact information
Practice address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1251
(732) 364-2144
Mailing address
1771 MADISON AVE, LAKEWOOD, NJ 08701-1251
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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