| Organization Name: | CGF MEDICAL CENTER PA |
| NPI Number: | 1063570448 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER GUO (PRESIDENT) |
| Mailing Address: | 1254 Route 27 Suite101 North Brunswick |
| State: | NJ US |
| Postal Code: | 089021765 |
| Phone Number: | 7326402777 |
| Fax Number: | 7323178148 |
| NPI Enumeration Date: | 12/05/2006 |
| NPI Last Update Date: | 04/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MA72743 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |