Organization
A MEDICAL HOME FOR YOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LAN (OWNER)
(206) 424-9157
Entity
Organization
Contact information
Practice address
336 PROSPECT AVE, HACKENSACK, NJ 07601-2506
(206) 424-9157
Mailing address
1055 RIVER RD, PO BOX 117, NEW MILFORD, NJ 07646-3221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07724400
NJ
Other
Enumeration date
04/08/2009
Last updated
06/14/2009
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