Organization
UNITY PLACE OF ATLANTIC COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY TISCHLER (PRESIDENT)
(347) 242-6502
Entity
Organization
Contact information
Practice address
121 S WHITE HORSE PIKE, SUITE A, HAMMONTON, NJ 08037-1871
(609) 704-1313
(609) 704-1208
Mailing address
121 S WHITE HORSE PIKE, SUITE A, HAMMONTON, NJ 08037-1871
(609) 704-1313
(609) 704-1208
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
200040810
NJ
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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