Name:
Specialty:
Street Address:
City, State & Zip:
Phone:
E-mail:
Number of providers in your practice:
Who currently handles the billing?
Best time to contact you:
Comments:
MLS Medical Billing Services, Inc.
P.O. Box 213
Chester, NJ 07930
908-490-0036 (P)
908-490-0067 (F)
mlsbilling@mlsmedbill.com