Organization
MH-NJ, PROFESSIONAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROSS (SECRETARY)
(332) 232-0200
Entity
Organization
Contact information
Practice address
569 DR MARTIN LUTHER KING JR BLVD STE 106, NEWARK, NJ 07102-1249
(332) 232-0200
Mailing address
521 BROADWAY FL 4, NEW YORK, NY 10012-4454
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
10/22/2025
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