Organization
ERICKSON HEALTH MEDICAL GROUP OF NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW NARRETT MD (EXECUTIVE VP/CHIEF MEDICAL OFFICER)
(410) 402-2261
Entity
Organization
Contact information
Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753-2631
(732) 643-2070
(732) 643-2015
Mailing address
5525 RESEARCH PARK DR, 4TH FLOOR, BALTIMORE, MD 21228-4664
(410) 402-2258
(410) 204-7279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6145940004
DME
—
Enumeration date
08/05/2008
Last updated
09/01/2011
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