Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVICENNA MEDICAL CENTER
Active OrganizationAVICENNA MEDICAL CENTER is a Prescribing Psychologist organization located in MONTCLAIR, New Jersey. NPI 1073904801 is currently active in the NPPES registry. Verify at CMS.
Prescribing Psychologist · MONTCLAIR, NJ
Registration Details
- NPI Number
- 1073904801
- Provider Type
- Organization
- NPI Issued
- Feb 16, 2015 (11.304155294148 yrs)
- Last Updated
- Feb 16, 2015
- License
-
25MB07627000 (NJ)
Practice Information
- Address
-
129 VALLEY RD2ND FLOORMONTCLAIR, NJ, 070422331Browse NJ providers · Browse ZIP 07042
- Phone
- 9737462620
- Fax
- 9737462579
- Primary Specialty
-
Prescribing Psychologist
103TP0016X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.