Center For Preventative Medicine Of New Jersey

NPI 1083747299 - Family Medicine - 207Q00000X

NPI Details
NPI 1083747299
Enumeration Date 03/14/2007
Last Updated 04/16/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEVIN D KEVIN
Position OWNER
Phone (973) 762-6077
Fax
Practice Location
5 STANLEY RD
SOUTH ORANGE NJ, 07079-2721, US
Phone (973) 762-6077
Fax
Business Location
5 STANLEY RD
SOUTH ORANGE NJ, 07079-2721, US
Phone (973) 762-6077
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number 25MA04662500
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According to our database, Center For Preventative Medicine Of New Jersey NPI is 1083747299, taxonomy code is 207Q00000X and license number is 25MA04662500, license state is located at New Jersey. Center For Preventative Medicine Of New Jersey physically located at 5 Stanley Rd, South Orange NJ, 07079-2721. NPI Number 1033115704 has the healthcare provider type.

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1083747299 NPI number is provided on an as is basis without warranty of any kind. 1083747299 is maintained by the National Plan & Provider Enumeration System. The contents of Center For Preventative Medicine Of New Jersey are for informational purposes only.