Organization
CARE MANAGEMENT 2000
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOSAMMA STANGO RN (PRESIDENT)
(973) 655-0120
Entity
Organization
Contact information
Practice address
258 PARK ST, UPPER MONTCLAIR, NJ 07043-1765
(973) 655-0120
(973) 655-0402
Mailing address
258 PARK ST, UPPER MONTCLAIR, NJ 07043-1765
(973) 655-0120
(973) 655-0402
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
HP0206600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7032005
—
NJ
Enumeration date
07/02/2007
Last updated
08/22/2020
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