Organization · NPI-2

1198 Medical Associates LLC

Psychologist, Addiction (Substance Use Disorder) · Toms River, NJ

NPI number1003291980
StatusActive
Last updated in NPPESJul 21, 2015

Details

NPI
1003291980
Entity type
Organization (NPI-2)
Legal business name
1198 Medical Associates LLC
Organization subpart
No
Enumeration date
Jul 21, 2015
Last updated
Jul 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TA0400X Psychologist, Addiction (Substance Use Disorder)––Yes

Practice location

1198 Lakewood Rd Ste 101
Toms River, NJ 08753-2237

Phone 732-736-6559

Mailing address

2328 10th Ave N Ste 302
Lake Worth, FL 33461-6612

Authorized official

James Stokes
Ceo
5613184455

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