Mountain Lakes Family Practice LLC
NPI #1326271826 in Mountain Lakes, New Jersey
Provider Information
- NPI Number
- 1326271826
- Entity Type
- Organization
- Organization Name
- Mountain Lakes Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 31, 2009
- Last Updated
- Aug 31, 2009
Practice Location
- Address
- 420 BOULEVARD
- Address 2
- SUITE 104
- City
- Mountain Lakes
- State
- New Jersey
- ZIP Code
- 07046-1742
- Phone
- (973) 334-3773
Authorized Official
- Name
- DR. BRENDA LESLIE ZIEGLER, D.O.
- Title
- PRESIDENT
- Phone
- (973) 334-3773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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