Healthcare Provider Details

I. General information

NPI: 1548106065
Provider Name (Legal Business Name): MMG HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 SCOTCH RD STE 5
EWING NJ
08628-2500
US

IV. Provider business mailing address

1012 PARKWAY AVE
EWING NJ
08618-2310
US

V. Phone/Fax

Practice location:
  • Phone: 609-766-4345
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROBIN MARIE GLANTON
Title or Position: NURSE PRACTITIONER
Credential: APN
Phone: 609-766-4345