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
70 S ORANGE AVE STE 235, LIVINGSTON, NJ 07039-4915
(973) 607-4911
(973) 607-4911
Mailing address
70 S ORANGE AVE STE 235, LIVINGSTON, NJ 07039-4915
(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
03/27/2026
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