South Mountain Medical Associates,P.C.

LBN: South Mountain Medical Associates,P.C.
South Mountain Medical Associates,P.C. is an health care organization with primary practice located at 1500 Pleasant Valley Way Suite 302, West Orange NJ 07052-2956. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. South Mountain Medical Associates,P.C. can be contacted via phone (973) 736-8119, or through Russo, John Anthony via phone (973) 736-8119.

Contact Information

Primary practice address
1500 Pleasant Valley Way Suite 302 West Orange NJ 07052-2956
Phone: (973) 736-8119
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Russo, John Anthony Doctor of Medicine (MD)
Phone: (973) 736-8119

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA44815 New Jersey

Profile Details

NPI number 1861671737
LBN Legal business name South Mountain Medical Associates,P.C.
DBA Doing business as
Authorized official Russo, John Anthony Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Jul 20th, 2012 - about 12 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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