Organization · Type 2 NPI

Prospect Medical Office, LLC

Specialist · Midland Park, NJ

NPI number 1316198922 Active

Practice location

301 Godwin Ave
Midland Park, NJ 07432-1544

Fax (201) 689-0638

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316198922

Prospect Medical Office, LLC's National Provider Identifier is 1316198922, issued on Oct 2, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Midland Park, NJ. The record was last updated on Oct 2, 2008.