Organization
LIBERTY BEHAVIORAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITU CHANDAK M.D. (CHAIRMAN, DEPT OF BEHAVIORAL HEALTH)
(201) 915-2000
Entity
Organization
Contact information
Practice address
395 GRAND ST, AMBULATORY CARE BUILDING, JERSEY CITY, NJ 07302-4238
(201) 915-2600
(201) 369-6301
Mailing address
395 GRAND ST, AMBULATORY CARE BUILDING, JERSEY CITY, NJ 07302-4238
(201) 915-2600
(201) 369-6301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7491808
—
NJ
Enumeration date
11/03/2006
Last updated
09/22/2014
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