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Organization
HAWTHORNE INTEGRATED MEDICINE, LLC
Active
Organization
HAWTHORNE INTEGRATED MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GREGG MD (PRESIDENT/OWNER)
(973) 423-9100
Entity
Organization
Contact information
Practice address
219 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1904
(973) 423-9100
(973) 423-1339
Mailing address
219 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1904
(973) 423-9100
(973) 423-1339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB08249300
NJ
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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