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THOMAS MCBRIDE PHD

Clinical Neuropsychologist

East Orange, New Jersey

Provider NPI: 1023006186

Provider Information:
 THOMAS  MCBRIDE PHD
Gender: M


Practice Location:
240 CENTRAL AVE  EAST ORANGE, NJ 07018 US
Tel: 973-414-4701  Fax: --

Business Mailing Address:
4716 OLD GETTYSBURG RD LEGAL DEPARTMENT MECHANICSBURG, PA 17055 US
Tel: 717-972-1139  Fax: 717-975-9981

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NJ35S100323700

Other Provider Identifiers:

IssuerNumberStateType
0056740NJ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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