Provider Demographics
NPI:1366888562
Name:ATLANTIC HEALTH SYSTEM INC (MORRISTOWN MEDICAL CENTER)
Entity type:Organization
Organization Name:ATLANTIC HEALTH SYSTEM INC (MORRISTOWN MEDICAL CENTER)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GME COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMMERER-JEROME
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:973-971-4102
Mailing Address - Street 1:1106 MIDDLESEX ST
Mailing Address - Street 2:APPT 1
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-1849
Mailing Address - Country:US
Mailing Address - Phone:908-220-4142
Mailing Address - Fax:
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital