Erickson Health Medical Group Of New Jersey PC
Internal Medicine in Pompton Plains, NJ. Organization (NPI-2).
NPI number1992725832
StatusActive
Last updated in NPPESApr 21, 2015
Details
- NPI
- 1992725832
- Entity type
- Organization (NPI-2)
- Legal business name
- Erickson Health Medical Group Of New Jersey PC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Apr 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 213E00000X | Podiatrist | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | |
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | – | – |
Practice location
1 Cedar Crest Village DrPompton Plains, NJ 07444-2100
Phone 973-831-3540 · Fax 973-831-3503
Mailing address
5525 Research Park DrBaltimore, MD 21228-4664
Phone 973-831-9540 · Fax 973-831-3503
Authorized official
Matthew J. Narrett
President
4104022257
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