Individual
MR. MICHAEL ANTHONY PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 PROGRESS ST, UNION, NJ 07083-8114
(908) 687-7188
(908) 687-0294
Mailing address
53 OSBORNE TERRANCE, NEWARK, NJ 07108
(347) 733-5900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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