Organization
FOOTPRINT NEW JERSEY LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAROSH M COOPER PH.D. (PSYCHOLOGIST)
(201) 240-6186
Entity
Organization
Contact information
Practice address
121 NEWARK AVE, STE. 503, JERSEY CITY, NJ 07302-5872
(201) 240-6186
(201) 763-6606
Mailing address
121 NEWARK AVE, STE. 503, JERSEY CITY, NJ 07302-5872
(201) 240-6186
(201) 763-6606
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00482700
NJ
Other
Enumeration date
02/05/2015
Last updated
07/29/2015
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