Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Hagedorn Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AYALA MERCEDES (BUSINESS MANAGER)
(908) 537-2141
Entity
Organization
Contact information
Practice address
200 SANATORIUM RD, GLEN GARDNER, NJ 08826-3288
(908) 537-2141
(908) 537-3100
Mailing address
200 SANATORIUM RD, GLEN GARDNER, NJ 08826-3288
(908) 537-2141
(908) 537-3100
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4508203
—
NJ
01
—
692717
MEDICARE
NJ
Enumeration date
06/10/2006
Last updated
03/27/2008
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