Organization
MLT MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LYNN THORPE MD (FOUNDER)
(201) 787-1148
Entity
Organization
Contact information
Practice address
137 MAIN ROAD, MONTVILLE, NJ 07045
(201) 787-1148
Mailing address
5 MITCHELL RD, PARSIPPANY, NJ 07054-4311
(201) 787-1148
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2017
Last updated
09/09/2017
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