Prolo & Integrated Medicine, LLC
Internal Medicine in Sparta, New Jersey
1134470222- Practice location
- 532 Lafayette RD, Sparta, NJ 07871-4411
- Phone
- 973-362-5227
- Fax
- 973-250-0045
- Last updated
- September 28, 2012
Prolo & Integrated Medicine, LLC is a healthcare organization based in Sparta, NJ. Prolo & Integrated Medicine, LLC practices in Sparta, NJ. The NPI Number for Prolo & Integrated Medicine, LLC is 1134470222 and holds a License No. 25MB03954800 (NJ). The current practice location address for Prolo & Integrated Medicine, LLC is 532 Lafayette RD, Sparta, NJ 07871-4411 and can be reached out via phone at 973-362-5227 and via fax at 973-250-0045.
Provider Profile Details
- NPI Number
- 1134470222
- Provider Name
- Prolo & Integrated Medicine, LLC
- Provider Entity Type
- Organization
- Address
- 532 Lafayette RD, Sparta, NJ 07871-4411
- Phone Number
- 973-362-5227
- Fax Number
- 973-250-0045
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Walter Grote, DO · Provider · 973-362-5227
- Provider Enumeration Date
- September 28, 2012
- Last Update Date
- September 28, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 532 Lafayette RD
Sparta, NJ 07871-4411 - City
- Sparta
- State
- New Jersey
- Zip
- 07871-4411
- Phone Number
- 973-362-5227
- Fax Number
- 973-250-0045
Provider Business Mailing Address Details
- Address
- Po Box 297
Blairstown, NJ 07825-0297 - City
- Blairstown
- State
- NJ
- Zip
- 07825-0297
- Phone Number
- 973-362-5227
- Fax Number
- 973-250-0045
License Information
- License Number
- 25MB03954800
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Prolo & Integrated Medicine, LLC?
The NPI number of Prolo & Integrated Medicine, LLC is 1134470222. It was assigned on September 28, 2012 and is currently active in the NPPES registry.
What is the specialty of Prolo & Integrated Medicine, LLC?
Prolo & Integrated Medicine, LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB03954800.
Where does Prolo & Integrated Medicine, LLC practice?
The practice location is 532 Lafayette RD, Sparta, NJ 07871-4411. The office can be reached at 973-362-5227 (phone) or 973-250-0045 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134470222 directly on the NPPES registry website.