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Organization
MOBILE HEALTH CARE FAMILY CLINIC LLC
Active
Organization
MOBILE HEALTH CARE FAMILY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FONDERRE L MUSONGONG FNP (MANAGER)
(845) 290-7287
Entity
Organization
Contact information
Practice address
19-21 FAIR LAWN AVE STE 2C, FAIR LAWN, NJ 07410-2337
(201) 479-4596
(201) 499-7938
Mailing address
10 WALNUT WAY, HIGHLAND MILLS, NY 10930-2810
(845) 290-7287
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
06/16/2025
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