Organization
CANTERBURY BEHAVIORAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE A POPKO (EVP / CFO)
(201) 795-8637
Entity
Organization
Contact information
Practice address
176 PALISADE AVENUE, JERSEY CITY, NJ 07306-1196
(201) 795-8637
(201) 795-8223
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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