Echo Blue Enterprise LLC
NPI #1699297168 in Boonton, New Jersey
Provider Information
- NPI Number
- 1699297168
- Entity Type
- Organization
- Organization Name
- Echo Blue Enterprise LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jul 16, 2017
- Last Updated
- Jul 16, 2017
Practice Location
- Address
- 550 W MAIN ST
- City
- Boonton
- State
- New Jersey
- ZIP Code
- 07005-1168
- Phone
- (973) 570-4271
Authorized Official
- Name
- MRS. KATHLEEN L. KILCOYNE, APN
- Title
- OWNER
- Phone
- (201) 759-5141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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