Provider Demographics
NPI:1396867933
Name:PSYCHIATRY ASSOCIATES OF CENTRAL NEW JERSEY, PA
Entity Type:Organization
Organization Name:PSYCHIATRY ASSOCIATES OF CENTRAL NEW JERSEY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:LICHTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-549-2220
Mailing Address - Street 1:251 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-2727
Mailing Address - Country:US
Mailing Address - Phone:732-549-2220
Mailing Address - Fax:732-603-0673
Practice Address - Street 1:251 MAIN ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2727
Practice Address - Country:US
Practice Address - Phone:732-549-2220
Practice Address - Fax:732-603-0673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty