| Mountainside Family Practice Associates - Merit | |
|
799 Bloomfield Avenue Suite 201 Verona NJ 07044-0000 | |
| (973) 746-7050 | |
| (973) 857-2831 |
| Full Name | Mountainside Family Practice Associates - Merit |
|---|---|
| Speciality | Family Medicine |
| Location | 799 Bloomfield Avenue, Verona, New Jersey |
| Authorized Official Name and Position | Barry Dykes (C E O) |
| Authorized Official Contact | 9734296000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountainside Family Practice Associates - Merit 799 Bloomfield Ave Suite 201 Verona NJ 07044-1367 Ph: (973) 746-7050 | Mountainside Family Practice Associates - Merit 799 Bloomfield Avenue Suite 201 Verona NJ 07044-0000 Ph: (973) 746-7050 |
| NPI Number | 1528199890 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 11/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528199890 | NPI | - | NPPES |
| 4138708 | Medicaid | NJ |
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