MD Medical Group

NPI #1982280426 in Atlantic Highlands, New Jersey

Provider Information

NPI Number: 1982280426
Entity Type: Organization
Organization Name: MD Medical Group
Primary Specialty: Specialist
Enumeration Date: Mar 23, 2021
Last Updated: Mar 25, 2021

Practice Location

Address: 68 1ST AVE STE C
City: Atlantic Highlands
State: New Jersey
ZIP Code: 07716-1288
Phone: (908) 309-5992

Authorized Official

Name: DAVID WICKERSHAM
Title: JR MEMBER
Phone: (908) 309-5992

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Specialist	174400000X	Primary

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