Provider Demographics
NPI:1912006842
Name:LINDEN MEDICAL GROUP, LLC
Entity Type:Organization
Organization Name:LINDEN MEDICAL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DARMETKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-925-3300
Mailing Address - Street 1:515 NORTH WOOD AVE
Mailing Address - Street 2:STE 302
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036
Mailing Address - Country:US
Mailing Address - Phone:908-925-3300
Mailing Address - Fax:908-925-4300
Practice Address - Street 1:515 NORTH WOOD AVE
Practice Address - Street 2:STE 302
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036
Practice Address - Country:US
Practice Address - Phone:908-925-3300
Practice Address - Fax:908-925-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty