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Organization

MENDHAM MEDICAL PRACTICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGG G MARELLA MD (SOLE MEMBER)
(973) 543-6505
Entity
Organization

Contact information

Practice address
19 E MAIN ST STE 1, MENDHAM, NJ 07945-1503
(973) 543-6505
(973) 543-2967
Mailing address
19 E MAIN ST STE 1, MENDHAM, NJ 07945-1503
(973) 543-6505
(973) 543-2967

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/28/2018
Last updated
11/14/2018
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