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Provider Information for 1992241350


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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ELIZABETH BATES


Sex: Female

NPI: 1992241350
Last Updated: 2017-01-10
Certification Date:

Details

NameValue
NPI1992241350
Enumeration Date2017-01-10
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3 SOUTHERN DR
TINTON FALLS, NJ 07724-3166
United States

Phone: 732-739-7939 | Fax:
 
Primary Practice Address 216 MAPLE AVE
SUITE 203
RED BANK, NJ 07701-1731
United States

Phone: 732-739-7939 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNJ44SC05643700