Provider Demographics
NPI:1235585019
Name:MATTHEW T FURLONG JR LPC
Entity Type:Organization
Organization Name:MATTHEW T FURLONG JR LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:FURLONG
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-397-3221
Mailing Address - Street 1:1254 ROUTE 27
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1765
Mailing Address - Country:US
Mailing Address - Phone:732-397-3221
Mailing Address - Fax:
Practice Address - Street 1:1254 ROUTE 27
Practice Address - Street 2:SUITE 1
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1765
Practice Address - Country:US
Practice Address - Phone:732-397-3221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-10
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00394600251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health