Healthcare Provider Details

I. General information

NPI: 1730129990
Provider Name (Legal Business Name): MORRISTOWN MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 08/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 MADISON AVE SUITE 101
MORRISTOWN NJ
07960-6092
US

IV. Provider business mailing address

95 MADISON AVE STE 409
MORRISTOWN NJ
07960-7336
US

V. Phone/Fax

Practice location:
  • Phone: 973-267-1010
  • Fax: 973-267-5521
Mailing address:
  • Phone: 973-267-9400
  • Fax: 973-998-8805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BRUCE A ARONWALD
Title or Position: OWNER
Credential: D.O.
Phone: 973-267-9400