Organization · NPI-2

A Medical Home For You LLC

Internal Medicine · Hackensack, NJ

NPI number1841433729
StatusActive
Last updated in NPPESJun 14, 2009

Details

NPI
1841433729
Entity type
Organization (NPI-2)
Legal business name
A Medical Home For You LLC
Organization subpart
No
Enumeration date
Apr 8, 2009
Last updated
Jun 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine25MA07724400NJYes

Practice location

336 Prospect Ave
Hackensack, NJ 07601-2506

Phone 206-424-9157

Mailing address

1055 River Rd
Po Box 117
New Milford, NJ 07646-3221

Authorized official

Andrew Lan
Owner
2064249157

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