Haskell Towne Medical, LLC
Clinic/Center, Primary Care in Haskell, NJ. Organization (NPI-2).
NPI number1497948665
StatusActive
Last updated in NPPESOct 7, 2015
Details
- NPI
- 1497948665
- Entity type
- Organization (NPI-2)
- Legal business name
- Haskell Towne Medical, LLC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2007
- Last updated
- Oct 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 25MB07737100 | NJ | Yes |
Practice location
1141 Ringwood AveSuite 7
Haskell, NJ 07420-1565
Phone 973-835-6777
Mailing address
1141 Ringwood AveSuite 7
Haskell, NJ 07420-1565
Phone 973-835-6777
Authorized official
Jeffrey Todd Smith
Physician, Owner
9738356777
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