Psychiatry&psychosomatic Medicine
Psychiatry&psychosomatic Medicine is a Professional Counselor in Wayne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.
- Licensed in
- NJ
- In the registry since
- 2011
Practice location Address checks out
549 Pines Lake Dr EWayne, NJ 07470-5117
Phone: (973) 464-7599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 25 MA08664800 (NJ) |
|---|
Record details
| NPI number | 1023303229 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Margarita Gormus — M.D. · (973) 464-7599 |
| NPI enumerated | June 15, 2011 |
| Last updated in NPPES | June 15, 2011 |
| Mailing address | 549 Pines Lake Dr E, Wayne, NJ 07470-5117 |
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