# NORTHWEST MEDICAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306964747
- **Authorized official:** DR. KRITHIKA MULLENGADA MD (PHYSICIAN OWNER)
- **Authorized official phone:** (973) 252-1676

## Contact information

- **Practice address:** 66 SUNSET STRIP, STE 407, SUCCASUNNA, NJ 07876-1345
- **Practice address phone:** (973) 252-1676
- **Mailing address:** 16 HEMINGWAY DR, LEDGEWOOD, NJ 07852-2322
- **Mailing address phone:** (973) 252-1676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA073248 | NJ | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 02/11/2014