Selden Dunbar Illick in Pennington - Clinical
Selden Dunbar Illick - NPI 1295872059
Selden Dunbar Illick is a Clinical in Pennington, New Jersey. Selden Dunbar Illick practices all healthcare services and medical treatments related to Clinical. The NPI Number for Selden Dunbar Illick is 1295872059. The last update date is 2007-07-08.
Selden Dunbar Illick's current location address is 100 Straube Center Blvd, Pennington, New Jersey. You can contact this provider via phone number 6097377797 and fax number 6097377499. The mailing address for Selden Dunbar Illick is 100 Straube Center Blvd, Pennington, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Selden Dunbar Illick |
|---|---|
| Address | 100 Straube Center Blvd, Pennington, New Jersey |
| Phone Number | 6097377797 |
| Fax Number | 6097377499 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1295872059 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 100 Straube Center Blvd |
|---|---|
| City | Pennington |
| State | New Jersey (NJ) |
| Post Code | 85341447 |
| Phone Number | 6097377797 |
| Fax Number | 6097377499 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC00669000 |
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What is the unique identification code assigned to Selden Dunbar Illick by the Centers for Medicare & Medicaid Services?
The Selden Dunbar Illick has been issued the NPI (National Provider Identifier) 1295872059. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Selden Dunbar Illick's facilities are geographically located?
The facilities of Selden Dunbar Illick are physically situated at the following location: 100 Straube Center Blvd, Pennington, NJ, 85341447.
What is the Selden Dunbar Illick's specialty and taxonomy code?
The Selden Dunbar Illick's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did the Selden Dunbar Illick receive its 1295872059?
The Selden Dunbar Illick was issued its 1295872059 on 2007-01-31, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Selden Dunbar Illick most recently updated or revised?
The details related to Selden Dunbar Illick, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1942207287
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