Provider Demographics
NPI:1407016801
Name:MARY FRANCES BEIRNE, M.D., ED.D., P.C.
Entity Type:Organization
Organization Name:MARY FRANCES BEIRNE, M.D., ED.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:BEIRNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-280-2366
Mailing Address - Street 1:3350 HIGHWAY 138
Mailing Address - Street 2:SUITE 118
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9693
Mailing Address - Country:US
Mailing Address - Phone:732-280-2366
Mailing Address - Fax:732-280-2377
Practice Address - Street 1:3350 HIGHWAY 138
Practice Address - Street 2:SUITE 118
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-9693
Practice Address - Country:US
Practice Address - Phone:732-280-2366
Practice Address - Fax:732-280-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05399100261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)