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Organization

FELLOWSHIP MEDICAL GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK F MAZZELLA (CHIEF FINANCIAL OFFICER)
(908) 580-3845
Entity
Organization

Contact information

Practice address
8000 FELLOWSHIP RD, BASKING RIDGE, NJ 07920-3915
(908) 580-3822
Mailing address
8000 FELLOWSHIP RD, BASKING RIDGE, NJ 07920-3915
(908) 580-3822

Taxonomy

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

Other

Enumeration date
07/10/2025
Last updated
07/10/2025
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