NPI | 1174130835 |
---|---|
Former Legal Business Name | DMM MEDICAL CONSULTING GROUP LLC |
Entity Type | Organization |
Authorized Contact | DONNA MAZYCK Owner/Provider 609-847-0538 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2020-09-28 |
Last Update Date | 2021-06-17 |