South Mountain Medical Associates,P.C. in West Orange - Internal Medicine

South Mountain Medical Associates,P.C. - NPI 1861671737

South Mountain Medical Associates,P.C. is a Internal Medicine in West Orange, New Jersey. South Mountain Medical Associates,P.C. practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for South Mountain Medical Associates,P.C. is 1861671737. The last update date is 2012-07-20.

South Mountain Medical Associates,P.C.'s current location address is 1500 Pleasant Valley Way, West Orange, New Jersey. You can contact this provider via phone number 9737368119. The mailing address for South Mountain Medical Associates,P.C. is 1500 Pleasant Valley Way, West Orange, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization South Mountain Medical Associates,P.C.
Address 1500 Pleasant Valley Way, West Orange, New Jersey
Phone Number 9737368119
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Russo Anthony John
Credentials MD
Telephone Number 9737368119

NPI Number Detail

NPI Number 1861671737
Provider Enumeration Date 2007-10-29
Last Updated Date 2012-07-20

Provider Mailing Address Detail

Address 1500 Pleasant Valley Way
City West Orange
State New Jersey (NJ)
Post Code 70522956
Phone Number 9737368119
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MA44815
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

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FAQs about South Mountain Medical Associates,P.C.

What is the South Mountain Medical Associates,P.C.'s unique identification number?

The South Mountain Medical Associates,P.C. has been assigned the NPI (National Provider Identifier) Number 1861671737 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where South Mountain Medical Associates,P.C.'s facilities are geographically located?

The facilities of South Mountain Medical Associates,P.C. are physically situated at the following location: 1500 Pleasant Valley Way, West Orange, NJ, 70522956.

What is South Mountain Medical Associates,P.C.'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 South Mountain Medical Associates,P.C. is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the South Mountain Medical Associates,P.C. receive its 1861671737 assignment from the Centers for Medicare & Medicaid Services?

The South Mountain Medical Associates,P.C. was assigned its 1861671737 by the Centers for Medicare & Medicaid Services on 2007-10-29.

When was the South Mountain Medical Associates,P.C.'s information last updated?

The South Mountain Medical Associates,P.C.'s information was last updated on 2012-07-20.

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