Organization
SOUTH AMBOY HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MACEVOY (OWNER)
(973) 809-8279
Entity
Organization
Contact information
Practice address
1 MAIN ST, SOUTH AMBOY, NJ 08879-1142
(908) 258-8765
Mailing address
1 MAIN ST, SOUTH AMBOY, NJ 08879-1142
(908) 258-8765
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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