Blue Mountain Aba Nj Llc

Specialty details in registry · Lakewood, NJ

Call (518) 275-9654 Directions

At a glance

1477 Walden Ave, Lakewood, NJ 08701-1549

NPPES record updated Jul 22, 2025. Public records can lag behind changes at a practice.

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Practice location

1477 Walden Ave
Lakewood, NJ 08701-1549

Professional details: NPI, taxonomy & registry record

NPI1124900063

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103K00000X
Enumeration date: Jul 22, 2025
Record updated: Jul 22, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

103K00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1477 Walden Ave
Lakewood, NJ 08701-1549

Phone: (518) 275-9654

Mailing address

1477 WALDEN AVE

LAKEWOOD, NJ 087011549

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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