# PROSPERO MEDICAL SERVICES NEW JERSEY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LANDMARK MEDICAL OF New Jersey PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275240954
- **Authorized official:** CHRISTOPHER DENNIS (PRESIDENT OF MEDICAL GROUP)
- **Authorized official phone:** (657) 237-2450

## Contact information

- **Practice address:** 1 GATEWAY CTR STE 2600, NEWARK, NJ 07102-5323
- **Practice address phone:** (657) 400-5180
- **Mailing address:** 7755 CENTER AVE STE 630, HUNTINGTON BEACH, CA 92647-9152
- **Mailing address phone:** (657) 400-5180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2022
- **Last updated:** 01/30/2024
