Mountain Lakes Integrated Healthcare
NPI #1558526459 in Mountain Lakes, New Jersey
Provider Information
- NPI Number
- 1558526459
- Entity Type
- Organization
- Organization Name
- Mountain Lakes Integrated Healthcare
- Primary Specialty
- Point of Service
- Enumeration Date
- Jul 21, 2008
- Last Updated
- Jul 21, 2008
Practice Location
- Address
- 115 US HIGHWAY 46
- Address 2
- SUITE A-3
- City
- Mountain Lakes
- State
- New Jersey
- ZIP Code
- 07046-1668
- Phone
- (973) 331-0200
Authorized Official
- Name
- DR. JONATHAN W. HOLASEK, D. AC., L. AC., C. A
- Title
- OWNER/PRESIDENT
- Phone
- (973) 331-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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