Provider Demographics
NPI:1164649257
Name:ATLANTIC HEALTH, MORRISTOWN MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:ATLANTIC HEALTH, MORRISTOWN MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE DEPT OF SURGERY
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLANDO
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROLANDELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-971-4105
Mailing Address - Street 1:100 MADISON AVE # 88
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6136
Mailing Address - Country:US
Mailing Address - Phone:973-971-4105
Mailing Address - Fax:973-290-7070
Practice Address - Street 1:100 MADISON AVE # 88
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-4105
Practice Address - Fax:973-290-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00111000282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access