Meditelecare of New Jersey LLC
NPI #1639750797 in Ewing, New Jersey
Provider Information
- NPI Number
- 1639750797
- Entity Type
- Organization
- Organization Name
- Meditelecare of New Jersey LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 19, 2021
- Last Updated
- May 5, 2025
Practice Location
- Address
- 100 CHARLES EWING BLVD STE 160
- City
- Ewing
- State
- New Jersey
- ZIP Code
- 08628-3456
- Phone
- (860) 788-6404
Authorized Official
- Name
- ANDREA GODFREY
- Title
- CREDENTIALING & ENROLLMENT MANAGER
- Phone
- (860) 398-6441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Social Worker - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Nurse Practitioner |
| Psychologist - Clinical — Clinical |
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