Provider Information for 1124312426
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Dr. THOMAS ALAN MALEK-JONES D.Min, LCSW
Sex: Male
NPI: 1124312426
Last Updated: 2011-06-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124312426 | ||||||||
| Enumeration Date | 2011-06-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 256 PARK ST UPPER MONTCLAIR, NJ 07043-1799 United States Phone: 973-800-8121 | Fax:973-395-7018 | ||||||||
| Primary Practice Address | 256 PARK ST UPPER MONTCLAIR, NJ 07043-1799 United States Phone: 973-800-8121 | Fax:973-395-7018 | ||||||||
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