Organization
PSYCHIATRY & MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MANGSATABAM M.D. (MANAGER)
(920) 345-6769
Entity
Organization
Contact information
Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(908) 994-7184
Mailing address
13 MICHAEL LN, SCOTCH PLAINS, NJ 07076-2856
(920) 345-6769
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA09485900
NJ
Other
Enumeration date
02/12/2017
Last updated
02/12/2017
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