Organization
ROWANSOM DEPT. OF PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIEKER (CHIEF FINANCIAL OFFICER)
(856) 566-6994
Entity
Organization
Contact information
Practice address
42 E LAUREL RD, SUITE 2100, STRATFORD, NJ 08084-1354
(856) 566-7020
(856) 566-6188
Mailing address
42 E LAUREL RD, SUITE 2100, STRATFORD, NJ 08084-1354
(856) 566-7020
(856) 566-6188
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0499056
—
NJ
Enumeration date
04/07/2016
Last updated
04/07/2016
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