Mountainside Family Practice Associates - Merit in Verona - Clinical

Mountainside Family Practice Associates - Merit - NPI 1528199890

Mountainside Family Practice Associates - Merit is a Clinical in Verona, New Jersey. Mountainside Family Practice Associates - Merit practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mountainside Family Practice Associates - Merit is 1528199890. The last update date is 2007-11-21.

Mountainside Family Practice Associates - Merit's current location address is 799 Bloomfield Ave, Verona, New Jersey. You can contact this provider via phone number 9737467050 and fax number 9738572831. The mailing address for Mountainside Family Practice Associates - Merit is 799 Bloomfield Ave, Verona, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mountainside Family Practice Associates - Merit
Address 799 Bloomfield Ave, Verona, New Jersey
Phone Number 9737467050
Fax Number 9738572831
Sole Proprietor --
Credentials --

Authorized Official

Title or Position C E O
Authorized Official Name Dykes Barry
Credentials MR.
Telephone Number 9734296000

NPI Number Detail

NPI Number 1528199890
Provider Enumeration Date 2007-03-08
Last Updated Date 2007-11-21

Provider Mailing Address Detail

Address 799 Bloomfield Ave
City Verona
State New Jersey (NJ)
Post Code 70441367
Phone Number 9737467050
Fax Number 9738572831

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4138708 NJ --

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FAQs about Mountainside Family Practice Associates - Merit

What is the unique identifier code issued to Mountainside Family Practice Associates - Merit by the Centers for Medicare & Medicaid Services?

The Mountainside Family Practice Associates - Merit has been assigned the NPI (National Provider Identifier) 1528199890. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mountainside Family Practice Associates - Merit is physically located?

The Mountainside Family Practice Associates - Merit is physically situated at the following address: 799 Bloomfield Ave, Verona, NJ, 70441367.

What is Mountainside Family Practice Associates - Merit's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mountainside Family Practice Associates - Merit is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.

When was the Mountainside Family Practice Associates - Merit's 1528199890 issued?

The Mountainside Family Practice Associates - Merit's 1528199890 was issued on 2007-03-08.

When was the information pertaining to Mountainside Family Practice Associates - Merit most recently updated or revised?

The details related to Mountainside Family Practice Associates - Merit, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-21.

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