Organization
PLEASANT RUN FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY DETOMMASO RN (OFFICE MANAGER)
(908) 788-9468
Entity
Organization
Contact information
Practice address
925 US HIGHWAY 202, NESHANIC STATION, NJ 08853-3503
(908) 788-9468
(908) 788-5720
Mailing address
925 US HIGHWAY 202, NESHANIC STATION, NJ 08853-3503
(908) 788-9468
(908) 788-5720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3264505
—
NJ
Enumeration date
01/08/2007
Last updated
08/22/2020
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