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Organization
MOUNT PROSPECT MEDICAL GROUP,LLC
Active
Organization
MOUNT PROSPECT MEDICAL GROUP,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER G SALERNO M.D. (OWNER/PRESIDENT)
(973) 672-2455
Entity
Organization
Contact information
Practice address
570 PARK AVE, 2ND FLOOR, EAST ORANGE, NJ 07017-1904
(973) 672-8573
(973) 675-0040
Mailing address
613 PARK AVE, EAST ORANGE, NJ 07017-1905
(973) 672-2455
(973) 675-0040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07308500
NJ
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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