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Organization

ROWAN INTEGRATED SPECIAL NEEDS BH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELI WORKMAN (DIRECTOR OF MANAGED CARE & CONTRACT)
(856) 566-6831
Entity
Organization

Contact information

Practice address
1474 TANYARD RD, SEWELL, NJ 08080-4111
(856) 566-6034
(856) 566-6208
Mailing address
PO BOX 71356, PHILADELPHIA, PA 19176-1356
(856) 566-6413
(856) 566-2797

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0487317
NJ
05
0491829
NJ
01
DW2417
RAILROAD MEDICARE
NJ
Enumeration date
06/30/2015
Last updated
12/05/2022
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