| Organization Name: | CENTRAL JERSEY MEDICAL & CONSULTING, LLC |
| NPI Number: | 1003152299 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERALDINE MARIE BANDA (MEMBER/OWNER) |
| Mailing Address: | 230 Centennial Ave Cranford |
| State: | NJ US |
| Postal Code: | 070163137 |
| Phone Number: | 9088215390 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2012 |
| NPI Last Update Date: | 12/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 38MC0274700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |