Mountain Lakes Medical Center, LLC
Clinic/Center, Urgent Care in Mountain Lakes, NJ. Organization (NPI-2).
NPI number1457585556
StatusActive
Last updated in NPPESDec 11, 2013
Details
- NPI
- 1457585556
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountain Lakes Medical Center, LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2009
- Last updated
- Dec 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | 25MA07139700 | NJ | Yes |
Practice location
100 Route 46 EBuilding B, Suite 204
Mountain Lakes, NJ 07046-1745
Phone 973-917-3200 · Fax 973-917-3201
Mailing address
100 Route 46 EBuilding B, Suite 204
Mountain Lakes, NJ 07046-1745
Phone 973-917-3200 · Fax 973-917-3201
Authorized official
Richard Joseph Schweitzer
President
9739173200
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