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Organization
MEDEMERGE P.A.
Active
Organization
MEDEMERGE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. PILLA MD (DIRECTOR)
(732) 968-8900
Entity
Organization
Contact information
Practice address
1005 N. WASHINGTON AVE, GREEN BROOK, NJ 08812-2619
(732) 968-8900
(732) 968-4898
Mailing address
PO BOX 890, GREEN BROOK, NJ 08812-2619
(732) 968-8900
(732) 968-4898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
01/03/2012
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