Organization
THE MEDICAL GROUP P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE G MORELLI (OFFICE MANAGER)
(973) 325-0061
Entity
Organization
Contact information
Practice address
745 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1144
(973) 325-0061
(973) 325-0219
Mailing address
745 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1144
(973) 325-0061
(973) 325-0219
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB7356
RAILROAD MEDICARE
NJ
Enumeration date
11/20/2006
Last updated
05/14/2008
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