Organization Name: | MARY FRANCES BEIRNE, M.D., ED.D., P.C. |
NPI Number: | 1407016801 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY FRANCES BEIRNE (PRESIDENT) |
Mailing Address: | 3350 Highway 138 Suite 118 Wall Township |
State: | NJ US |
Postal Code: | 077199693 |
Phone Number: | 7322802366 |
Fax Number: | 7322802377 |
NPI Enumeration Date: | 06/10/2008 |
NPI Last Update Date: | 06/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 25MA05399100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |