# LIFELINE MEDICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1821041617
- **Authorized official:** MR. RONALD COBO MPA (BUSINESS MANAGER CRED)
- **Authorized official phone:** (973) 316-6763

## Contact information

- **Practice address:** 100 CAMPUS DR STE 405, FLORHAM PARK, NJ 07932-1006
- **Practice address phone:** (800) 845-2785
- **Practice address fax:** (973) 316-0307
- **Mailing address:** 100 CAMPUS DR STE 405, FLORHAM PARK, NJ 07932-1006
- **Mailing address phone:** (800) 845-2785
- **Mailing address fax:** (973) 316-0307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 01/21/2022