Blossom NP in Psychiatry Health Pll
Blossom NP in Psychiatry Health Pll is a Psychiatry Physician in Fair Lawn, New Jersey. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
15-01 Broadway Ste 24Fair Lawn, NJ 07410-6006
Phone: (833) 325-6766
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Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1417643842 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daliya Chandroth — Owner · (201) 214-0400 |
| NPI enumerated | April 18, 2023 |
| Last updated in NPPES | April 18, 2023 |
| Certification date | April 17, 2023 |
| Mailing address | 15-01 Broadway Ste 24, Fair Lawn, NJ 07410-6006 |
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