Coleman Addiction Medicine, P.C.
Substance Use Disorder Rehabilitation Clinic/Center in Fair Lawn, NJ(View on Map)
Legal Business Name
Coleman Addiction Medicine, P.C.
NPI Number
1295395408
NPI Type
Organization
Enumeration Date
06/19/2019
Specialties
(Taxonomies)Code
261QR0405X
324500000X
Primary Taxonomy
Yes
No
Contact
Information
Purpose
Mailing
Location
Address
1720 LAKEPOINTE DR STE 117
23-00 STATE RT 208 STE 1-1
City
Lewisville
Fair Lawn
State
TX
NJ
Postal Code
75057-6425
07410-1558
Country
US
US
Telephone Number
(214) 379-3300
(617) 996-8365
Authorized Official
Name
Genco D'Andria
Title or Position
CFO
Telephone Number
(214) 379-3300
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/13/2021
Provider Address
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Choicepoint Llc
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The Coleman Institute Of America, Llc
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Choicepoint Llc
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