| Family Practice Of Middletown, Llc | |
|
1 Riverview Plz Red Bank NJ 07701-1864 | |
| (732) 720-9548 | |
| (201) 501-8502 |
| Full Name | Family Practice Of Middletown, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1 Riverview Plz, Red Bank, New Jersey |
| Authorized Official Name and Position | Gary Kershner (DIRECTOR/OWNER) |
| 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 8 Mulberry Ln Atlantic Highlands NJ 07716-2246 Ph: (732) 720-9548 | Family Practice Of Middletown, Llc 1 Riverview Plz Red Bank NJ 07701-1864 Ph: (732) 720-9548 |
| NPI Number | 1578508297 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578508297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB07312400 (New Jersey) | Primary |
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