# HARRISON MEDICAL GROUP LLC

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

## Provider details

- **NPI number:** 1841579851
- **Authorized official:** RAY RYAN SANTOS M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (973) 484-2584

## Contact information

- **Practice address:** 332 HARRISON AVE, HARRISON, NJ 07029-1775
- **Practice address phone:** (973) 484-9216
- **Practice address fax:** (973) 484-9216
- **Mailing address:** 332 HARRISON AVE, HARRISON, NJ 07029-1775
- **Mailing address phone:** (973) 484-9216
- **Mailing address fax:** (973) 484-9216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA08446200 | NJ | Yes |
| 208000000X | Pediatrics Physician | 25MA08446200 | NJ | — |

## Other

- **Enumeration date:** 08/08/2011
- **Last updated:** 03/29/2012