Healthcare Provider Details

I. General information

NPI: 1568570489
Provider Name (Legal Business Name): INTERNAL MEDICINE OF MORRIS COUNTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 ROUTE 46 SUITE 102
MINE HILL NJ
07803-3164
US

IV. Provider business mailing address

195 RT#46 SUITE 102
MINE HILL NJ
07803-3164
US

V. Phone/Fax

Practice location:
  • Phone: 973-366-6060
  • Fax: 973-366-1423
Mailing address:
  • Phone: 973-366-6060
  • Fax: 973-366-1423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: CHERYL LAMBERT
Title or Position: REGIONAL VP FINANCE
Credential:
Phone: 732-682-9942