| Morris Sussex Family Practice, Pc | |
|
694 State Route 15 S Suite 103 Lake Hopatcong NJ 07849-2249 | |
| (973) 663-8899 | |
| (973) 663-9511 |
| Full Name | Morris Sussex Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 694 State Route 15 S, Lake Hopatcong, New Jersey |
| Authorized Official Name and Position | Anthony Joseph Lucatorto (PRESIDENT) |
| Authorized Official Contact | 9736638899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morris Sussex Family Practice, Pc 694 State Route 15 S Suite 103 Lake Hopatcong NJ 07849-2249 Ph: (973) 663-8899 | Morris Sussex Family Practice, Pc 694 State Route 15 S Suite 103 Lake Hopatcong NJ 07849-2249 Ph: (973) 663-8899 |
| NPI Number | 1013053750 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013053750 | NPI | - | NPPES |
| 7105002 | Medicaid | NJ | |
| 2355303001 | Other | NJ | AMERIHEALTH HMO PRAC ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB60950 (New Jersey) | Primary |