Organization
MPV NEW JERSEY MD SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP GENERAL COUNSEL)
(615) 296-3594
Entity
Organization
Contact information
Practice address
1355 BROAD ST, CLIFTON, NJ 07013-4221
(973) 778-5566
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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