Provider Demographics
NPI:1366900995
Name:MEH LLC
Entity type:Organization
Organization Name:MEH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-674-9857
Mailing Address - Street 1:328 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-7009
Mailing Address - Country:US
Mailing Address - Phone:732-237-4601
Mailing Address - Fax:941-916-9902
Practice Address - Street 1:1250 ROUTE 28 STE 101
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3389
Practice Address - Country:US
Practice Address - Phone:732-237-4601
Practice Address - Fax:941-916-9902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-02
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health