Individual
DR. GLENN L FALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
94 SHORE RD, ANDOVER, NJ 07821-2239
(908) 852-4077
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100186400
NJ
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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