Organization
NORTH JERSEY BEHAVIORAL MEDICINE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA S. ISMAIL M.D. (OWNER)
(201) 669-2880
Entity
Organization
Contact information
Practice address
2 EXECUTIVE DR, SUITE 665, FORT LEE, NJ 07024-3308
(201) 669-2880
(718) 504-4122
Mailing address
1225 RIVER RD, #8-D, EDGEWATER, NJ 07020-1459
(201) 669-2880
(718) 504-4122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
04/24/2007
Last updated
05/01/2008
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