Organization
IMMEDIATE CARE PSYCHIATRIC CENTER
Active
Parent organization
IMMEDIATE CARE PSYCHIATRIC CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMMEDIATE CARE PSYCHIATRIC CENTER, LLC
Authorized official
MARILYN AYRES (BILLING MANAGER)
(973) 335-9909
Entity
Organization
Contact information
Practice address
28A HILL ROAD, PARSIPPANY, NJ 07054-1001
(973) 335-9909
(973) 335-9910
Mailing address
28A HILL ROAD, PARSIPPANY, NJ 07054-1001
(973) 335-9909
(973) 335-9910
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA42108
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
MA42108
NJ
2084P0805X
Geriatric Psychiatry Physician
MA42108
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058035
MEDICARE GROUP PTAN
NJ
Enumeration date
08/11/2011
Last updated
08/11/2011
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