Organization
MENDHAM MEDICAL GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH M CIUFFREDA (OFFICE MANAGER)
(973) 543-6505
Entity
Organization
Contact information
Practice address
19 E MAIN ST, MENDHAM, NJ 07945-1503
(973) 543-6505
(973) 543-2967
Mailing address
19 E MAIN ST, MENDHAM, NJ 07945-1503
(973) 543-6505
(973) 543-2967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2769107
—
NJ
01
—
41304
AETNA
—
Enumeration date
01/23/2008
Last updated
01/23/2008
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