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Organization
MOUNTAIN LAKES FAMILY PRACTICE LLC
Active
Organization
MOUNTAIN LAKES FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA LESLIE ZIEGLER D.O. (PRESIDENT)
(973) 334-3773
Entity
Organization
Contact information
Practice address
420 BOULEVARD, SUITE 104, MOUNTAIN LAKES, NJ 07046-1742
(973) 334-3773
(973) 334-2109
Mailing address
420 BOULEVARD, SUITE 104, MOUNTAIN LAKES, NJ 07046-1742
(973) 334-3773
(973) 334-2109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06311200
NJ
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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