AVICENNA MEDICAL CENTER

NPI # 

Practice Address:

129 Valley Rd , 2Nd Floor

Montclair, NJ, 07042-2331

Practice Phone:

973-746-2620

Practice Fax:

973-746-2579

License Number:

25MB07627000

License State:

NJ

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Psychologist

Taxonomy Specialization:

Prescribing (Medical)

Taxonomy Code:

103TP0016X

Updated by NPPES on 2/16/2015. You can view the original data set for NPI # 1073904801 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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AVICENNA MEDICAL CENTER's

CMS CPT® coding data

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AVICENNA MEDICAL CENTER's

CMS prescription data

Nearby Psychologist Physicians

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