Organization
JM VIP MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MORALES M.D. (MANAGING MEMBER)
(732) 991-2600
Entity
Organization
Contact information
Practice address
49 KENT RD, HOWELL, NJ 07731-2452
(732) 991-2600
Mailing address
16 WOODVIEW DR, HOWELL, NJ 07731-3825
(732) 991-2600
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06900500
NJ MEDICAL LICENSE
NJ
Enumeration date
06/21/2024
Last updated
06/21/2024
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