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Organization

MCCD NJ PSYCHIATRY SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGIA GAVERAS DO (CEO/CHIEF MEDICAL OFFICER)
(917) 309-7915
Entity
Organization

Contact information

Practice address
525 ROUTE 73 N STE 117, MARLTON, NJ 08053-3422
(833) 351-8255
Mailing address
109 W 27TH ST STE 5S, NEW YORK, NY 10001-6208
(917) 634-5311

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/10/2022
Last updated
03/18/2024
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