Organization
MOUNTAIN CREST MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SALERNO (OWNER)
(914) 490-3741
Entity
Organization
Contact information
Practice address
331 NEWMAN SPRINGS RD BLDG 1, RED BANK, NJ 07701-5688
(914) 376-6100
Mailing address
331 NEWMAN SPRINGS RD BLDG 1, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
07/20/2021
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