PROLO & INTEGRATED MEDICINE, LLC

SPARTA, NJ
NPI1134470222
Entity TypeOrganization
Authorized ContactWALTER GROTE
Provider
973-362-5227
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MB03954800)
Enumeration Date2012-09-28
Last Update Date2012-09-28
Business Address
PROLO & INTEGRATED MEDICINE, LLC
532 LAFAYETTE RD
SPARTA, NJ 07871-4411
Phone number: 973-362-5227
Mailing Address
PROLO & INTEGRATED MEDICINE, LLC
PO BOX 297
BLAIRSTOWN, NJ 07825-0297
Phone number: 973-362-5227
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