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Organization

MOUNTAIN LAKES MEDICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD JOSEPH SCHWEITZER MD (PRESIDENT)
(973) 917-3200
Entity
Organization

Contact information

Practice address
100 ROUTE 46 E, BUILDING B, SUITE 204, MOUNTAIN LAKES, NJ 07046-1745
(973) 917-3200
(973) 917-3201
Mailing address
100 ROUTE 46 E, BUILDING B, SUITE 204, MOUNTAIN LAKES, NJ 07046-1745
(973) 917-3200
(973) 917-3201

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
25MA07139700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163185
MEDICARE PTAN
NJ
Enumeration date
05/05/2009
Last updated
12/11/2013
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