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Organization

LIFE MEDICAL GROUP, PC

Active
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Organization

LIFE MEDICAL GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A MERLIN (CHIEF MEDICAL OFFICER)
(973) 650-0342
Entity
Organization

Contact information

Practice address
120 EAGLE ROCK AVE STE 200, EAST HANOVER, NJ 07936-3159
(973) 607-4911
(973) 607-4911
Mailing address
120 EAGLE ROCK AVE STE 200, EAST HANOVER, NJ 07936-3159
(973) 607-4911
(973) 607-4911

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
246QL0900X
Laboratory Management Specialist/Technologist
251E00000X
Home Health Agency
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
01/09/2025
Last updated
07/15/2026
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