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Organization

NGM MANGEMENT COMPANY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS G MELILLO M.D. (PRESIDENT)
(732) 906-0091
Entity
Organization

Contact information

Practice address
106 JAMES ST, EDISON, NJ 08820-3945
(732) 906-0091
(732) 906-0249
Mailing address
106 JAMES ST, EDISON, NJ 08820-3945
(732) 906-0091
(732) 906-0249

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03774600
NJ

Other

Enumeration date
06/13/2016
Last updated
08/25/2016
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