Prospect Medical Office, LLC
NPI #1609956556 in Midland Park, New Jersey
Provider Information
- NPI Number
- 1609956556
- Entity Type
- Organization
- Organization Name
- Prospect Medical Office, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Dec 7, 2012
Practice Location
- Address
- 301 GODWIN AVE
- City
- Midland Park
- State
- New Jersey
- ZIP Code
- 07432-1544
- Phone
- (201) 444-4526
Authorized Official
- Name
- SUSAN TEREK
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (201) 444-4530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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