Mountainside Family Practice Associates - Merit
NPI #1528199890 in Verona, New Jersey
Provider Information
- NPI Number
- 1528199890
- Entity Type
- Organization
- Organization Name
- Mountainside Family Practice Associates - Merit
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Nov 21, 2007
Practice Location
- Address
- 799 BLOOMFIELD AVENUE
- Address 2
- SUITE 201
- City
- Verona
- State
- New Jersey
- ZIP Code
- 07044-0000
- Phone
- (973) 746-7050
Authorized Official
- Name
- MR. BARRY DYKES, MR.
- Title
- C E O
- Phone
- (973) 429-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Internal Medicine - Sports Medicine — Sports Medicine |
| Pediatrics |
| Family Medicine |
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