Most Relevant Information
Provider Data
| NPI Number: | 1003220468 |
| Provider Name: | EDMUND JOHN RUNG LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | SC01303 |
Most Important Dates
| Enumeration Date: | 06/13/2014 |
| Last Updated: | 06/13/2014 |
Provider Practice Location
33 PARK ST.
EDMUND J. RUNG, JR
MONTCLAIR
NJ
07042
Practice Location Phone/Fax
| Phone: | 9085789665 |
| Fax: |
Provider Mailing Location
33 PARK ST.
MONTCLAIR
NJ
07042
Provider Mailing Phone/Fax
| Phone: | 9085789665 |
| Fax: |