Paul Robert Fine in Montclair - Clinical

Paul Robert Fine - NPI 1295774982

Paul Robert Fine is a Clinical in Montclair, New Jersey. Paul Robert Fine practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paul Robert Fine is 1295774982. The last update date is 2007-07-08.

Paul Robert Fine's current location address is 60 S Fullerton Ave, Montclair, New Jersey. You can contact this provider via phone number 9737446522 and fax number 9737446362. The mailing address for Paul Robert Fine is 60 S Fullerton Ave, Montclair, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Robert Fine
Address 60 S Fullerton Ave, Montclair, New Jersey
Phone Number 9737446522
Fax Number 9737446362
Sole Proprietor X
Credentials L.C.S.W.

NPI Number Detail

NPI Number 1295774982
Provider Enumeration Date 2006-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 60 S Fullerton Ave
City Montclair
State New Jersey (NJ)
Post Code 70422663
Phone Number 9737446522
Fax Number 9737446362

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No SC01458
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6602 NJ --

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FAQs about Paul Robert Fine

What is the Paul Robert Fine's unique identification number?

The Paul Robert Fine has been assigned the NPI (National Provider Identifier) Number 1295774982 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Paul Robert Fine is physically located?

The Paul Robert Fine is physically situated at the following address: 60 S Fullerton Ave, Montclair, NJ, 70422663.

What is Paul Robert Fine's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Paul Robert Fine is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1295774982 to Paul Robert Fine?

The Centers for Medicare & Medicaid Services originally issued the 1295774982 to Paul Robert Fine on 2006-06-06.

When was the Paul Robert Fine's information last updated?

The Paul Robert Fine's information was last updated on 2007-07-08.

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