Organization
HOUSECALL PRACTITIONERS, PROFESSIONAL ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA T SEO NP (DIRECTOR)
(551) 587-3252
Entity
Organization
Contact information
Practice address
22 MAPLE ST, ENGLEWOOD CLIFFS, NJ 07632-1912
(551) 587-3252
(201) 221-8427
Mailing address
22 MAPLE ST, ENGLEWOOD CLIFFS, NJ 07632-1912
(551) 587-3252
(201) 221-8427
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
26NJ0014370
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201049
—
NJ
Enumeration date
07/16/2010
Last updated
07/20/2010
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