Psychiatry&psychosomatic Medicine

NPI #1023303229 in Wayne, New Jersey

Provider Information

NPI Number: 1023303229
Entity Type: Organization
Organization Name: Psychiatry&psychosomatic Medicine
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 15, 2011
Last Updated: Jun 15, 2011

Practice Location

Address: 549 PINES LAKE DR E
City: Wayne
State: New Jersey
ZIP Code: 07470-5117
Phone: (973) 464-7599

Authorized Official

Name: DR. MARGARITA GORMUS, M.D.
Title: M.D.
Phone: (973) 464-7599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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