Mendham Medical Practice LLC

NPI #1265917926 in Mendham, New Jersey

Provider Information

NPI Number: 1265917926
Entity Type: Organization
Organization Name: Mendham Medical Practice LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 28, 2018
Last Updated: Nov 14, 2018

Practice Location

Address: 19 E MAIN ST STE 1
City: Mendham
State: New Jersey
ZIP Code: 07945-1503
Phone: (973) 543-6505

Authorized Official

Name: GREGG G MARELLA, MD
Title: SOLE MEMBER
Phone: (973) 543-6505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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