Doctor Name: | DR. CECILIA KALIJMAN KAROL |
NPI Number: | 1265506158 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25MA02535500 |
Business Practice Address: | 1055 River Rd Apt.511 S. Edgewater, NJ - 070201364 |
Business Phone Number: | 2018862827 |
Business Fax Number: | |
Mailing Address: | 1055 River Rd, Apt.511 S. EDGEWATER |
State: | NJ |
Postal Code: | 070201364 |
Phone Number: | 2018862827 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 12/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 25MA02535500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |