Individual
ELIO MATTHEW BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 GALLOPING HILL RD STE 205, UNION, NJ 07083-7980
(908) 686-1505
Mailing address
310 GIORDANO AVE, PARLIN, NJ 08859-4110
(401) 309-9033
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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