# PROLO & INTEGRATED MEDICINE, LLC

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

## Provider details

- **NPI number:** 1134470222
- **Authorized official:** DR. WALTER GROTE D.O. (PROVIDER)
- **Authorized official phone:** (973) 362-5227

## Contact information

- **Practice address:** 532 LAFAYETTE RD, SPARTA, NJ 07871-4411
- **Practice address phone:** (973) 362-5227
- **Practice address fax:** (973) 250-0045
- **Mailing address:** PO BOX 297, BLAIRSTOWN, NJ 07825-0297
- **Mailing address phone:** (973) 362-5227
- **Mailing address fax:** (973) 250-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MB03954800 | NJ | Yes |

## Other

- **Enumeration date:** 09/28/2012
- **Last updated:** 09/28/2012