Organization
EASTER SEALS NEW JERSEY
Active
Other names
ESNJ - Edison (B)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J FITZGERALD (PRESIDENT)
(732) 257-6662
Entity
Organization
Contact information
Practice address
15 MAIN ST, SUITE 5, EDISON, NJ 08837-3447
(732) 744-1488
(732) 744-1486
Mailing address
25 KENNEDY BLVD, SUITE 600, EAST BRUNSWICK, NJ 08816-1259
(732) 257-6662
(732) 257-7373
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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