Gary A Dock in Lawnside - Addiction (substance Use Disorder)

Gary A Dock - NPI 1508034455

Gary A Dock is a Addiction (substance Use Disorder) in Lawnside, New Jersey. Gary A Dock practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gary A Dock is 1508034455. The last update date is 2018-07-20.

Gary A Dock's current location address is 190 W Oak Ave Apt A, Lawnside, New Jersey. You can contact this provider via phone number 8623244375. The mailing address for Gary A Dock is 190 W Oak Ave Apt A, Lawnside, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Gary A Dock
Address 190 W Oak Ave Apt A, Lawnside, New Jersey
Phone Number 8623244375
Fax Number
Sole Proprietor Y
Credentials LCADC

NPI Number Detail

NPI Number 1508034455
Provider Enumeration Date 2008-02-13
Last Updated Date 2018-07-20

Provider Mailing Address Detail

Address 190 W Oak Ave Apt A
City Lawnside
State New Jersey (NJ)
Post Code 80451215
Phone Number 8623244375
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 37LC00076100
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Gary A Dock

What is the unique 10-digit identification code assigned to Gary A Dock by the Centers for Medicare & Medicaid Services?

The Gary A Dock has been issued the NPI (National Provider Identifier) 1508034455, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Gary A Dock is physically located?

The Gary A Dock is situated at the following address: 190 W Oak Ave Apt A, Lawnside, NJ 80451215.

What is the Gary A Dock's area of specialization and corresponding taxonomy classification?

The Gary A Dock's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1508034455 to Gary A Dock?

The Centers for Medicare & Medicaid Services originally issued the 1508034455 to Gary A Dock on 2008-02-13.

When was the information regarding Gary A Dock, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gary A Dock, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-07-20.

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