| 01 Medical Group Llc | |
|
16-01 Broadway Fair Lawn NJ 07410-2026 | |
| (888) 443-3869 | |
| Not Available |
| Full Name | 01 Medical Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 16-01 Broadway, Fair Lawn, New Jersey |
| Authorized Official Name and Position | James Stokes Aitken (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5613184411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 01 Medical Group Llc 2328 10th Ave N Fl 3 Lake Worth FL 33461-6606 Ph: (888) 443-3869 | 01 Medical Group Llc 16-01 Broadway Fair Lawn NJ 07410-2026 Ph: (888) 443-3869 |
| NPI Number | 1831595776 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831595776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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