Organization
1ST CEREBRAL PALSY OF NEW JERSEY
Active
Organization
1ST CEREBRAL PALSY OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK DENIS COLLIGAN MPA (EXECUTIVE DIRECTOR)
(973) 751-0200
Entity
Organization
Contact information
Practice address
20-28 ROCCO STREET, APARTMENT 20, BELLEVILLE, NJ 07109
(973) 450-4997
Mailing address
7 SANFORD AVENUE, BELLEVILLE, NJ 07109
(973) 751-0200
(973) 751-4635
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3752305
—
NJ
Enumeration date
07/01/2015
Last updated
07/01/2015
Update your record
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