Liberty Child And Adolescent Health Services

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NPI Provider: 1003812728
Contact Name: Bonforte J Richard
Position: President
Phone: (201) 714-7903

Liberty Child And Adolescent Health Services Information:

Liberty Child And Adolescent Health Services organization have npi 1003812728, taxonomy code is 174400000X with license number is K3745 in . This Business address located in PO Box 334, Wayne, NJ 74740 New Jersey. Get directions of Liberty Child And Adolescent Health Services.

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Practice Location
Address: 550 Newark Ave, Jersey City, NJ 73061
Phone: (201) 714-7902

Business Location

Address: PO Box 334, Wayne, NJ 74740

Phone: (201) 804-2800

Fax: (512) 795-5122

Taxonomy

Taxonomy Code: 174400000X

License Number: K3745

License Number of State: TX

Primary Taxonomy Switch: Y

Enumeration Date: 6/27/2005

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