Organization
MOUNTAIN LAKES INTEGRATED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN W. HOLASEK D. AC., L. AC., C. A (OWNER/PRESIDENT)
(973) 331-0200
Entity
Organization
Contact information
Practice address
115 US HIGHWAY 46, SUITE A-3, MOUNTAIN LAKES, NJ 07046-1668
(973) 331-0200
Mailing address
115 US HIGHWAY 46, SUITE A-3, MOUNTAIN LAKES, NJ 07046-1668
(973) 331-0200
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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