Provider Demographics
NPI:1356581987
Name:MEADOW HEALTH LLC
Entity type:Organization
Organization Name:MEADOW HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMEBER
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CUETO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-249-2900
Mailing Address - Street 1:2279 ROUTE 33
Mailing Address - Street 2:SUITE 505
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1750
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2279 HIGHWAY 33
Practice Address - Street 2:SUITE 505
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1750
Practice Address - Country:US
Practice Address - Phone:609-249-2900
Practice Address - Fax:609-249-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ551093Medicare PIN