Organization
PSYCHIATRY TO GO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B MILLER (CEO)
(609) 536-9891
Entity
Organization
Contact information
Practice address
180 TUCKERTON RD, SUITE 11, MEDFORD, NJ 08055-8802
(609) 536-9890
(609) 423-9060
Mailing address
180 TUCKERTON RD, SUITE 11, MEDFORD, NJ 08055
(609) 536-9890
(609) 423-9060
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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