HAWTHORNE INTEGRATED MEDICINE, LLC

HAWTHORNE, NJ
NPI1730505074
Entity TypeOrganization
Authorized ContactJOHN GREGG
President/Owner
973-423-9100
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  25MB08249300)
Enumeration Date2014-03-11
Last Update Date2014-03-11
Business Address
HAWTHORNE INTEGRATED MEDICINE, LLC
219 LAFAYETTE AVE
HAWTHORNE, NJ 07506-1904
Phone number: 973-423-9100
Mailing Address
HAWTHORNE INTEGRATED MEDICINE, LLC
219 LAFAYETTE AVE
HAWTHORNE, NJ 07506-1904
Phone number: 973-423-9100