Individual
MR. CHRISTIAN THOMAS BELLISSIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, RPT
Contact information
Practice address
1 MAIN ST, SUITE 111, EATONTOWN, NJ 07724-3450
(732) 609-7272
Mailing address
PO BOX 7546, SHREWSBURY, NJ 07702-7546
(732) 609-7272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC04658900
NJ
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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