| Family Practice Of Middletown, Llc | |
|
170 Avenue At The Cmn Shrewsbury NJ 07702-4803 | |
| (732) 720-9548 | |
| (732) 865-7735 |
| Full Name | Family Practice Of Middletown, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 170 Avenue At The Cmn, Shrewsbury, New Jersey |
| Authorized Official Name and Position | Gary B Kershner (PRESIDENT) |
| Authorized Official Contact | 7327209548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Middletown, Llc 170 Avenue At The Cmn Shrewsbury NJ 07702-4803 Ph: (732) 720-9548 | Family Practice Of Middletown, Llc 170 Avenue At The Cmn Shrewsbury NJ 07702-4803 Ph: (732) 720-9548 |
| NPI Number | 1730410325 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730410325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB073124 (New Jersey) | Primary |
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