Organization
NJ DEVELOPMENTAL DISABILITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN GOLDBERGER CPC (CHIEF OPERATING OFFICER)
(718) 419-9588
Entity
Organization
Contact information
Practice address
32 RUSTIC RD, LAKEWOOD, NJ 08701-4017
(718) 419-9588
Mailing address
32 RUSTIC RD, LAKEWOOD, NJ 08701-4017
(718) 419-9588
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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