MOUNT PROSPECT MEDICAL GROUP,LLC

EAST ORANGE, NJ
NPI1700245255
Entity TypeOrganization
Authorized ContactALEXANDER G SALERNO
Owner/President
973-672-2455
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NJ  25MA07308500)
Enumeration Date2016-02-12
Last Update Date2016-02-12
Business Address
MOUNT PROSPECT MEDICAL GROUP,LLC
570 PARK AVE 2ND FLOOR
EAST ORANGE, NJ 07017-1904
Phone number: 973-672-8573
Mailing Address
MOUNT PROSPECT MEDICAL GROUP,LLC
613 PARK AVE
EAST ORANGE, NJ 07017-1905
Phone number: 973-672-2455