Kmc Eeg Department Group | |
600 River Ave Lakewood NJ 08701-5237 | |
(732) 886-4443 | |
(732) 886-4659 |
Full Name | Kmc Eeg Department Group |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 600 River Ave, Lakewood, New Jersey |
Authorized Official Name and Position | Anthony Esposito (DIRECTOR) |
Authorized Official Contact | 7325577160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kmc Eeg Department Group Po Box 6069 Bellmawr NJ 08099-6069 Ph: (732) 557-7160 | Kmc Eeg Department Group 600 River Ave Lakewood NJ 08701-5237 Ph: (732) 886-4443 |
NPI Number | 1790735017 |
---|---|
Provider Enumeration Date | 05/10/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790735017 | NPI | - | NPPES |
7136307 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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