South River Medical Associates,p.a. | |
123 Main St South River NJ 08882-1231 | |
(732) 254-3892 | |
(732) 254-9037 |
Full Name | South River Medical Associates,p.a. |
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Speciality | Family Medicine |
Location | 123 Main St, South River, New Jersey |
Authorized Official Name and Position | Sigmund Lewis Kulessa (PHYSICIAN) |
Authorized Official Contact | 7322543892 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South River Medical Associates,p.a. 123 Main St South River NJ 08882-1231 Ph: (732) 254-3892 | South River Medical Associates,p.a. 123 Main St South River NJ 08882-1231 Ph: (732) 254-3892 |
NPI Number | 1922163104 |
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Provider Enumeration Date | 12/27/2006 |
Last Update Date | 03/27/2009 |
Identifier | Type | State | Issuer |
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1922163104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MB24981 (New Jersey) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MA63986 (New Jersey) | Secondary |
Jersey Hospitalist Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Pettit Ave, South River, NJ 08882 Phone: 732-801-8827 Fax: 908-834-8033 | |
Wellness Consultation Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8 Old Bridge Tpke, South River, NJ 08882 Phone: 732-390-4888 Fax: 732-390-0255 | |
Girgis Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Main St, Suite 4, South River, NJ 08882 Phone: 732-254-9494 Fax: 732-254-9903 |