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Organization

WEST MORRIS MEDICAL, LLC

Active
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Organization

WEST MORRIS MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL G DONNELLY SR. (AUTHORIZED MEMBER)
(973) 879-4941
Entity
Organization

Contact information

Practice address
530 EAST MAIN STREET, BUILDING A; SUITE 2, CHESTER, NJ 07930-0599
(973) 879-4941
Mailing address
PO BOX 599, CHESTER, NJ 07930-0599
(973) 879-4941

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA05194300
NJ
207R00000X
Internal Medicine Physician
Primary
25MA05194300
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA05194300
NJ
207RS0010X
Sports Medicine (Internal Medicine) Physician
25MA05194300
NJ
2083X0100X
Occupational Medicine Physician
25MA05194300
NJ
363A00000X
Physician Assistant
25MA05194300
NJ
363LP2300X
Primary Care Nurse Practitioner
25MA05194300
NJ

Other

Enumeration date
03/03/2008
Last updated
03/03/2008
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