# MTB FIRST ASSIST LLC

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

## Provider details

- **NPI number:** 1497520159
- **Authorized official:** MICHAEL TYLER BOOTH PA (OWNER)
- **Authorized official phone:** (973) 738-0627

## Contact information

- **Practice address:** 136 BALL RD, MOUNTAIN LAKES, NJ 07046-1625
- **Practice address phone:** (973) 738-0627
- **Mailing address:** 136 BALL RD, MOUNTAIN LAKES, NJ 07046-1625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2023
- **Last updated:** 11/21/2023