# 01 MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1831595776
- **Authorized official:** JAMES STOKES AITKEN (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (561) 318-4411

## Contact information

- **Practice address:** 16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
- **Practice address phone:** (888) 443-3869
- **Mailing address:** 2328 10TH AVE N FL 3, LAKE WORTH, FL 33461-6606
- **Mailing address phone:** (888) 443-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 11/04/2014