| Mobile Medical Of Montville, Llc | |
|
35 Palomino Trl Vernon NJ 07462-3143 | |
| (973) 886-9923 | |
| (973) 209-0246 |
| Full Name | Mobile Medical Of Montville, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 35 Palomino Trl, Vernon, New Jersey |
| Authorized Official Name and Position | Carmine Anthony Mazzella (OWNER) |
| Authorized Official Contact | 9738869923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Of Montville, Llc 35 Palomino Trl Vernon NJ 07462-3143 Ph: (973) 886-9923 | Mobile Medical Of Montville, Llc 35 Palomino Trl Vernon NJ 07462-3143 Ph: (973) 886-9923 |
| NPI Number | 1881884369 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 07/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881884369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MBO60952 (New Jersey) | Primary |
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