Organization
MYLAUREL MEDICAL GROUP NJ, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BALDRIDGE (CREDENTIALING)
(702) 417-6255
Entity
Organization
Contact information
Practice address
400 MORRIS AVE STE 224, DENVILLE, NJ 07834-1362
(973) 363-4555
Mailing address
885 3RD AVE FL 29, NEW YORK, NY 10022-4834
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
01/09/2024
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