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MID ATLANTIC DIABETES AND ENDOCRINOLOGY ASSOCIATES LLC NPI 1437392198


NPI Information

NPI: 1437392198
Provider Name: MID ATLANTIC DIABETES AND ENDOCRINOLOGY ASSOCIATES, LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 31D1104080

Address:
555 IRON BRIDGE RD STE 18
FREEHOLD, NJ
ZIP 07728
Phone: (732) 409-6233
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MID ATLANTIC DIABETES AND ENDOCRINOLOGY ASSOCIATES, LLC is an endocrinology and diabetes and metabolism internal medicine in Freehold, NJ. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MID ATLANTIC DIABETES AND ENDOCRINOLOGY ASSOCIATES, LLC NPI is 1437392198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

555 IRON BRIDGE RD STE 18
FREEHOLD, NJ
ZIP 07728-975
Phone: (732) 409-6233

The provider's authorized official is Melissa Young .
The authorized official title is Owner and has the following contact phone number (732) 685-2747.

The CLIA number assigned to this NPI record is 31D1104080 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2009 and was last updated on 7/10/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismMA72694NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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