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Organization

SOMERSET COUNTY DEPT. HUMAN SERVICES/PESS

Active
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Organization

SOMERSET COUNTY DEPT. HUMAN SERVICES/PESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD PALUMBO LSW (CLINICAL SUPERVISOR)
(908) 526-4100
Entity
Organization

Contact information

Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 526-4100
Mailing address
23 REIMER ST, SOMERVILLE, NJ 08876-2421
(908) 393-2227

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
44SL053546900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133132
NJ
Enumeration date
09/21/2007
Last updated
09/21/2007
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