| 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 |