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Organization
PRACTICE ASSOCIATES MEDICAL GROUP
Active
Organization
PRACTICE ASSOCIATES MEDICAL GROUP
Active
Other names
ATLANTIC MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ALOYCE HERZOG (CHIEF OPERATING OFFICER)
(973) 829-4320
Entity
Organization
Contact information
Practice address
100 MADISON AVENUE, INTEROFFICE #68, MORRISTOWN, NJ 07960
(844) 264-2250
(973) 290-8349
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-8349
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
NULL
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
NULL
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
NULL
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
NULL
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
NULL
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
NULL
2080P0210X
Pediatric Nephrology Physician
—
—
Other
Enumeration date
05/02/2006
Last updated
07/13/2021
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