NPI Provider: 1326477027
Contact Name: SANTIAGO ELIEZER
Position: PROGRMA ADMINISTRATOR
Phone: (732) 410-7102
The Passion Care Center Information:
The Passion Care Center organization have npi 1326477027, taxonomy code is 261QR0405X with license number is 2000575 in . This Business address located in 187 FAYETTE STREET, PERTH AMBOY, NJ 8861 New Jersey.
Practice Location
Address: 187 FAYETTE STREET, PERTH AMBOY, NJ 8861
Phone: (732) 410-7102
Business Location
Address: 187 FAYETTE STREET, PERTH AMBOY, NJ 8861
Phone: (732) 410-7102
Fax: (732) 400-8503
Taxonomy
Taxonomy Code: 261QR0405X
License Number: 2000575
License Number of State: NJ
Primary Taxonomy Switch: Y
Enumeration Date: 11/4/13
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