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Organization

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Active
Other names
Greystone Park Psychiatric Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFRY R NURENBERG MD (MEDICAL DIRECTOR)
(973) 292-4003
Entity
Organization

Contact information

Practice address
59 KOCH AVE, MORRIS PLAINS, NJ 07950-4400
(973) 538-1800
Mailing address
59 KOCH AVE, MORRIS PLAINS, NJ 07950-4400
(973) 538-1800

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
283Q00000X
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
692715
MEDICARE BUILDING GROUP N
Enumeration date
10/20/2006
Last updated
03/23/2009
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