Organization
VA NEW JERSEY HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JAMES DOUGHTY CADC (MAINTAINANCE CONTROL MANAGER)
(908) 252-9075
Entity
Organization
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 625-5635
Mailing address
215 MAIN ST, APT-76, SOUTH BOUND BROOK, NJ 08880-1486
(908) 625-5635
(908) 252-9098
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
37CA00021700
NJ
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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