State of New Jersey Omb Centralized Payroll
NPI #1487680294 in Avenel, New Jersey
Provider Information
- NPI Number
- 1487680294
- Entity Type
- Organization
- Organization Name
- State of New Jersey Omb Centralized Payroll
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Apr 24, 2008
Practice Location
- Address
- 1275 RAHWAY AVENUE
- City
- Avenel
- State
- New Jersey
- ZIP Code
- 07095-0189
- Phone
- (732) 499-5951
Authorized Official
- Name
- DR. MICHAEL CROOKS, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (732) 499-5673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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