Morris Sussex Family Practice, Pc | |
694 State Route 15 S Suite 103 Lake Hopatcong NJ 07849-2249 | |
(973) 663-8899 | |
(973) 663-9511 |
Full Name | Morris Sussex Family Practice, Pc |
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Speciality | Family Medicine |
Location | 694 State Route 15 S, Lake Hopatcong, New Jersey |
Authorized Official Name and Position | Anthony Joseph Lucatorto (PRESIDENT) |
Authorized Official Contact | 9736638899 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Morris Sussex Family Practice, Pc 694 State Route 15 S Suite 103 Lake Hopatcong NJ 07849-2249 Ph: (973) 663-8899 | Morris Sussex Family Practice, Pc 694 State Route 15 S Suite 103 Lake Hopatcong NJ 07849-2249 Ph: (973) 663-8899 |
NPI Number | 1013053750 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013053750 | NPI | - | NPPES |
7105002 | Medicaid | NJ | |
2355303001 | Other | NJ | AMERIHEALTH HMO PRAC ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MB60950 (New Jersey) | Primary |