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NPI Code Detail

MEDICARE: CORNERSTONE MEDICAL PROCEDURES LLC

MEDICARE: CORNERSTONE MEDICAL PROCEDURES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center

General Provider Information

NPI Number : 1205509460
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE MEDICAL PROCEDURES LLC
Provider Business Mailing Address
First Line : 7 NEWARK POMPTON TPKE
Second Line :
City : RIVERDALE
State : NJ
Zip : 07457-1142
Country : US
Telephone Number : 973-831-1100
Fax Number :
Provider Business Practice Location Address
First Line : 7 NEWARK POMPTON TPKE
Second Line :
City : RIVERDALE
State : NJ
Zip : 07457-1142
Country : US
Telephone Number : 973-831-1100
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JOSEPH YOUNG
Credential : DC
Telephone Number : 973-831-1100
Provider Enumeration Date : 07/25/2021
Last Update Date : 07/25/2021

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Directions to “CORNERSTONE MEDICAL PROCEDURES LLC ” Practice Location

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