MYLAUREL MEDICAL GROUP NJ PC NPI 1942815295

NPI Information

MYLAUREL MEDICAL GROUP NJ, PC is a general practice in Denville, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MYLAUREL MEDICAL GROUP NJ, PC NPI is 1942815295. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 MORRIS AVE STE 224
DENVILLE, NJ
ZIP 07834-362
Phone: (973) 363-4555

The provider's authorized official is Leslie Baldridge .
The authorized official title is Credentialing and has the following contact phone number (702) 417-6255.

The CLIA number assigned to this NPI record is 31D2291700 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2020 and was last updated on 1/9/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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