Organization
1ST CEREBRAL PALSY OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK DENIS COLLIGAN MPA (EXECUTIVE DIRECTOR)
(973) 751-0200
Entity
Organization
Contact information
Practice address
9 SANFORD AVE, BELLEVILLE, NJ 07109-1221
(973) 751-0200
Mailing address
7 SANFORD AVE, BELLEVILLE, NJ 07109-1221
(973) 751-0200
(973) 751-4635
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3752305
—
NJ
Enumeration date
09/09/2021
Last updated
09/09/2021
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