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NPI Verification

National Provider Identifier: 1467642736

Affiliated Medical Service

Organization

Primary Specialty

Family Medicine, Addiction Medicine

Code: 207QA0401X

Practice Address

PO BOX 27

KEYPORT, NJ 077350027

Phone: 732-264-7222

NPI Enumeration Date

August 1, 2007

NPI Number

1467642736

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry