OrganizationActive
Psychiatry Services
NPI 1952733875 · Preferred Provider Organization · Medford, NJ
Provider details
- NPI number
- 1952733875
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Michael Miller, Ceo(609) 536-9890
- License
- 26NJ00099700 (NJ)
Specialties & taxonomies
Managed Care Organizations
Practice location
180 Tuckerton Rd
Suite 11
Medford, NJ 08055-8802
Phone: (609) 536-9890
Fax: (609) 423-0970
Approximate (ZIP-level) locationGet directions
Mailing address
180 Tuckerton Rd
Medford, NJ 08055-8802
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2013-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.