Mlt Medical Llc | |
137 Main Road Montville NJ 07045 | |
(201) 787-1148 | |
Not Available |
Full Name | Mlt Medical Llc |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 137 Main Road, Montville, New Jersey |
Authorized Official Name and Position | Michelle Lynn Thorpe (FOUNDER) |
Authorized Official Contact | 2017871148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mlt Medical Llc 5 Mitchell Rd Parsippany NJ 07054-4311 Ph: (201) 787-1148 | Mlt Medical Llc 137 Main Road Montville NJ 07045 Ph: (201) 787-1148 |
NPI Number | 1023537164 |
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Provider Enumeration Date | 09/09/2017 |
Last Update Date | 09/09/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023537164 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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