| Kmg Medical Group Nj, P.a. | |
|
101 Eisenhower Pkwy Roseland NJ 07068-1032 | |
| (833) 745-3377 | |
| (646) 224-8614 |
| Full Name | Kmg Medical Group Nj, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Eisenhower Pkwy, Roseland, New Jersey |
| Authorized Official Name and Position | Michael D Karagas (PRESIDENT/OWNER) |
| Authorized Official Contact | 3615635508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmg Medical Group Nj, P.a. 27 E 28th St Fl 12 New York NY 10016-7921 Ph: (361) 563-5508 | Kmg Medical Group Nj, P.a. 101 Eisenhower Pkwy Roseland NJ 07068-1032 Ph: (833) 745-3377 |
| NPI Number | 1083112122 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083112122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA10245700 (New Jersey) | Primary |
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