Organization
EQUIP HEALTH MEDICAL NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN DEFIORE (DIRECTOR CLIENT STRATEGY & OPERATIO)
(508) 340-1419
Entity
Organization
Contact information
Practice address
511 S ORANGE AVE # 2089, NEWARK, NJ 07103-1342
(619) 350-6290
Mailing address
PO BOX 131747, CARLSBAD, CA 92013-1747
(619) 350-6290
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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