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Organization
ROUTE 4 MEDICAL ASSOCIATES LLC
Active
Organization
ROUTE 4 MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES STOKES AITKEN (CHIEF OPERATING OFFICER)
(561) 318-4411
Entity
Organization
Contact information
Practice address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
(888) 443-3869
Mailing address
2328 10TH AVE N FL 3, LAKE WORTH, FL 33461-6606
(888) 443-3869
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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