Organization
BRIGHTLINE MEDICAL ASSOCIATES OF NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRETT DWYER (CHIEF FINANCIAL OFFICER)
(888) 224-7332
Entity
Organization
Contact information
Practice address
400 CONCAR DR, SAN MATEO, CA 94402-2681
(888) 224-7332
Mailing address
400 CONCAR DR, SAN MATEO, CA 94402-2681
(888) 224-7332
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/13/2024
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