South Amboy Health Center LLC

NPI #1801414024 in South Amboy, New Jersey

Provider Information

NPI Number
1801414024
Entity Type
Organization
Organization Name
South Amboy Health Center LLC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jul 14, 2020
Last Updated
Jul 14, 2020

Practice Location

Address
1 MAIN ST
ZIP Code
08879-1142
Phone
(908) 258-8765

Authorized Official

Name
JOHN MACEVOY
Title
OWNER
Phone
(973) 809-8279

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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