Organization
NORTHWEST MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRITHIKA MULLENGADA MD (PHYSICIAN OWNER)
(973) 252-1676
Entity
Organization
Contact information
Practice address
66 SUNSET STRIP, STE 407, SUCCASUNNA, NJ 07876-1345
(973) 252-1676
Mailing address
16 HEMINGWAY DR, LEDGEWOOD, NJ 07852-2322
(973) 252-1676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA073248
NJ
Other
Enumeration date
03/26/2007
Last updated
02/11/2014
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