Organization · Type 2 NPI

01 Medical Group LLC

Addiction Medicine (Psychiatry & Neurology) Physician · Fair Lawn, NJ

NPI number 1831595776 Active

Practice location

16-01 Broadway
Fair Lawn, NJ 07410-2026

Mailing address

2328 10th Ave N Fl 3
Lake Worth, FL 33461-6606

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

31 other providers at this address

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About NPI 1831595776

01 Medical Group LLC's National Provider Identifier is 1831595776, issued on Nov 4, 2014. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Fair Lawn, NJ. The record was last updated on Nov 4, 2014.