Organization Name: | CENTRAL JERSEY FAMILY PRACTICE |
NPI Number: | 1013011659 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT CARDINALE (PHYSICIAN) |
Mailing Address: | 1810 Park Ave South Plainfield |
State: | NJ US |
Postal Code: | 070805522 |
Phone Number: | 9085614914 |
Fax Number: | |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | MA022782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |