Organization
SUBURBAN TREATMENT ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY S MEGARO (LLC MEMBER)
(908) 687-7188
Entity
Organization
Contact information
Practice address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 687-7188
(908) 687-0294
Mailing address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 687-7188
(908) 687-0294
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
22315
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5150116
—
NJ
Enumeration date
05/07/2007
Last updated
04/07/2008
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