Organization
MERIDIAN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY CHOSAK M.S., LAC, NCC (CLINICAL THERAPIST II)
(732) 643-4364
Entity
Organization
Contact information
Practice address
1200 JUMPING BROOK RD, BUILDING 5, SUITE 201-202, NEPTUNE, NJ 07753-2634
(732) 643-4400
(732) 643-4378
Mailing address
1200 JUMPING BROOK RD, BUILDING 5, SUITE 201-202, NEPTUNE, NJ 07753-2634
(732) 643-4400
(732) 643-4378
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
37AC00133800
NJ
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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