Glutality Provider Group Of New Jersey, Pa.

LBN: Glutality Provider Group Of New Jersey, Pa.
Glutality Provider Group Of New Jersey, Pa. is an health care organization with primary practice located at 3600 Route 66 Ste 150 , Neptune NJ 07753-2645. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Glutality Provider Group Of New Jersey, Pa. can be contacted via phone (561) 678-2026, or through Mitchell, Mark via phone (561) 678-2026.

Contact Information

Primary practice address
3600 Route 66 Ste 150 Neptune NJ 07753-2645
Phone: (561) 678-2026
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Mark
Phone: (561) 678-2026

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1396335675
LBN Legal business name Glutality Provider Group Of New Jersey, Pa.
DBA Doing business as
Authorized official Mitchell, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2021
Last updated Nov 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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