Organization
VA NEW JERSEY HEALTHCARE SYSTEM
Active
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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