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Organization

01 MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES STOKES AITKEN (CHIEF OPERATING OFFICER)
(561) 318-4411
Entity
Organization

Contact information

Practice address
16-01 BROADWAY, FAIR LAWN, NJ 07410-2026
(888) 443-3869
Mailing address
2328 10TH AVE N FL 3, LAKE WORTH, FL 33461-6606
(888) 443-3869

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
11/04/2014
Last updated
11/04/2014
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