Coleman Addiction Medicine, P.C.

LBN: Coleman Addiction Medicine, P.C.
Coleman Addiction Medicine, P.C. is an health care organization with primary practice located at 23-00 State Rt 208 Ste 1-1 , Fair Lawn NJ 07410-1558. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Coleman Addiction Medicine, P.C. can be contacted via phone (617) 996-8365, or through D'Andria, Genco via phone (214) 379-3300.

Contact Information

Primary practice address
23-00 State Rt 208 Ste 1-1 Fair Lawn NJ 07410-1558
Phone: (617) 996-8365
Fax:
Website:
Map and Directions
Authorized official contact:
Name: D'Andria, Genco
Phone: (214) 379-3300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1295395408
LBN Legal business name Coleman Addiction Medicine, P.C.
DBA Doing business as
Authorized official D'Andria, Genco
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2019
Last updated Jan 13th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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