Organization
CRESSKILL MENTAL HEALTH ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIREESHA JATHAVEDAM (MD)
(917) 952-6846
Entity
Organization
Contact information
Practice address
145 COUNTY RD, CRESSKILL, NJ 07626-2266
(917) 952-6846
Mailing address
145 COUNTY RD, CRESSKILL, NJ 07626-2266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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