| Care Station Medical Group, Pa | |
|
456 Prospect Ave West Orange NJ 07052-4112 | |
| (973) 731-6767 | |
| (973) 731-9881 |
| Full Name | Care Station Medical Group, Pa |
|---|---|
| Speciality | General Practice |
| Location | 456 Prospect Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Miranda J Agosto (BILLING MANAGER) |
| Authorized Official Contact | 9089257519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Station Medical Group, Pa Po Box 352 Linden NJ 07036-0352 Ph: (908) 925-7519 | Care Station Medical Group, Pa 456 Prospect Ave West Orange NJ 07052-4112 Ph: (973) 731-6767 |
| NPI Number | 1194045914 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 03/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194045914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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