Hawthorne Integrated Medicine, LLC
NPI #1730505074 in Hawthorne, New Jersey
Provider Information
- NPI Number
- 1730505074
- Entity Type
- Organization
- Organization Name
- Hawthorne Integrated Medicine, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 11, 2014
- Last Updated
- Mar 11, 2014
Practice Location
- Address
- 219 LAFAYETTE AVE
- City
- Hawthorne
- State
- New Jersey
- ZIP Code
- 07506-1904
- Phone
- (973) 423-9100
Authorized Official
- Name
- DR. JOHN GREGG, MD
- Title
- PRESIDENT/OWNER
- Phone
- (973) 423-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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