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Organization
MEDICOR LIFESTYLE MEDICINE, P.A
Active
Organization
MEDICOR LIFESTYLE MEDICINE, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E PUGH (EXECUTIVE DIRECTOR)
(908) 243-5002
Entity
Organization
Contact information
Practice address
331 US HIGHWAY 206, HILLSBOROUGH, NJ 08844-4781
(908) 243-5004
(908) 904-1403
Mailing address
225 JACKSON ST, BRIDGEWATER, NJ 08807-3060
(908) 243-5004
(908) 904-1403
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
NULL
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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