# 1198 MEDICAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003291980
- **Authorized official:** JAMES STOKES (CEO)
- **Authorized official phone:** (561) 318-4455

## Contact information

- **Practice address:** 1198 LAKEWOOD RD STE 101, TOMS RIVER, NJ 08753-2237
- **Practice address phone:** (732) 736-6559
- **Mailing address:** 2328 10TH AVE N STE 302, LAKE WORTH, FL 33461-6612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/21/2015