Liberty Child and Adolescent Health Services
NPI #1003812728 in Jersey City, New Jersey
Provider Information
- NPI Number
- 1003812728
- Entity Type
- Organization
- Organization Name
- Liberty Child and Adolescent Health Services
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 27, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 550 NEWARK AVE
- City
- Jersey City
- State
- New Jersey
- ZIP Code
- 07306-1326
- Phone
- (201) 714-7902
Authorized Official
- Name
- RICHARD J BONFORTE, MD
- Title
- PRESIDENT
- Phone
- (201) 714-7903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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