Organization
1ST CEREBRAL PALSY OF NEW JERSEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK DENIS COLLIGAN MPA (EXECUTIVE DIRECTOR)
(973) 751-0200
Entity
Organization
Contact information
Practice address
42 STATE STREET, BLOOMFIELD, NJ 07003
(973) 751-0042
Mailing address
7 SANFORD AVENUE, BELLEVILLE, NJ 07109
(973) 751-0200
(973) 751-4635
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3752305
—
NJ
Enumeration date
07/01/2015
Last updated
07/01/2015
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