Organization
BHMG-CORPORATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE BLANDINO (ADMINISTRATIVE DIRECTOR)
(732) 886-4795
Entity
Organization
Contact information
Practice address
101 PROSPECT ST, SUITE 120, LAKEWOOD, NJ 08701-5020
(732) 886-4795
Mailing address
101 PROSPECT ST, SUITE 120, LAKEWOOD, NJ 08701-5020
(732) 886-4795
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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