| Mahwah Medical | |
|
10 Franklin Tpke Mahwah NJ 07430-1304 | |
| (201) 529-0033 | |
| (201) 529-5913 |
| Full Name | Mahwah Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Franklin Tpke, Mahwah, New Jersey |
| Authorized Official Name and Position | Glenn R Leslie (PRESIDENT) |
| Authorized Official Contact | 2015290033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahwah Medical 10 Franklin Tpke Mahwah NJ 07430-1304 Ph: (201) 529-0033 | Mahwah Medical 10 Franklin Tpke Mahwah NJ 07430-1304 Ph: (201) 529-0033 |
| NPI Number | 1366612178 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 09/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366612178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MB42681 (New Jersey) | Primary |
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