| Organization Name: | 60 MEDICAL ASSOCIATES LLC |
| NPI Number: | 1174914782 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES STOKES (CEO) |
| Mailing Address: | 60 Walnut Ave Ste 200 Clark |
| State: | NJ US |
| Postal Code: | 070661647 |
| Phone Number: | 7328821920 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2015 |
| NPI Last Update Date: | 02/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |