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General NPI Number Information
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NPI Number | 1336212000
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD MEDICAL CARE LLC
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 290 MADISON AVE 2A
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7400
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Country | US
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Telephone | 973-285-1999
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Fax | 973-359-8979
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Provider Business Mailing Address
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Address Line | PO BOX 149
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City | CONVENT STATION
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State | NJ
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Zip | 07961-0149
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Country | US
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Telephone | 201-841-2041
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Fax | 973-359-8979
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN L SMITH
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Credential | MD
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Telephone | 201-841-2041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA04108000
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License Number State | NJ
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