Provider Demographics
NPI:1154740983
Name:RECOVERY ASSOCIATES OF CENTRAL NJ
Entity type:Organization
Organization Name:RECOVERY ASSOCIATES OF CENTRAL NJ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-388-3500
Mailing Address - Street 1:960 ROUTE 173
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08804-3112
Mailing Address - Country:US
Mailing Address - Phone:908-388-3500
Mailing Address - Fax:908-388-3501
Practice Address - Street 1:960 ROUTE 173
Practice Address - Street 2:
Practice Address - City:BLOOMSBURY
Practice Address - State:NJ
Practice Address - Zip Code:08804-3112
Practice Address - Country:US
Practice Address - Phone:908-388-3500
Practice Address - Fax:908-388-3501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-09
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA071791002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty