| NPI | 1295983484 |
|---|---|
| Doing Business As | MOUNTAINSIDE FAMILY PRACTICE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOE JOHNSON Vice President 866-465-9222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NJ 10766) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2013-06-11 |