Provider Demographics
NPI:1366036113
Name:MCL MEDICAL CONSULTING INC.
Entity Type:Organization
Organization Name:MCL MEDICAL CONSULTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEE ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLETON
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:848-207-2476
Mailing Address - Street 1:7 AVALON LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-4157
Mailing Address - Country:US
Mailing Address - Phone:848-207-2476
Mailing Address - Fax:848-207-2647
Practice Address - Street 1:660 TENNENT RD STE 102
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3163
Practice Address - Country:US
Practice Address - Phone:848-207-2476
Practice Address - Fax:848-207-2647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2022-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty