Nj-brooklyn Medical Associates, Llc | |
39 W Front St Keyport NJ 07735-1209 | |
(732) 264-2224 | |
(732) 264-4291 |
Full Name | Nj-brooklyn Medical Associates, Llc |
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Speciality | Internal Medicine |
Location | 39 W Front St, Keyport, New Jersey |
Authorized Official Name and Position | Kevin Custis (SOLE PROPRIETOR) |
Authorized Official Contact | 7322642224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nj-brooklyn Medical Associates, Llc 39 West Front St. Keyport NJ 07735-1209 Ph: (732) 264-2224 | Nj-brooklyn Medical Associates, Llc 39 W Front St Keyport NJ 07735-1209 Ph: (732) 264-2224 |
NPI Number | 1316294572 |
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Provider Enumeration Date | 08/07/2012 |
Last Update Date | 08/26/2013 |
Identifier | Type | State | Issuer |
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1316294572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA08719200 (New Jersey) | Primary |
Visiting Nurse Association Of Central Jersey Community Health Center I Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35 Broad Street, Keyport, NJ 07735 Phone: 732-888-4149 Fax: 732-264-0799 | |
Healthpoint Medical Grp. Of Keyport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 43 W Front Street, Keyport, NJ 07726 Phone: 732-613-1000 |