| Organization Name: | SOMERSET MEDICAL GROUP |
| NPI Number: | 1205063633 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VASANTHI KACHIRAYAN (REGISTERED AGENT) |
| Mailing Address: | 3322 Rte 22 Suite806 Branchburg |
| State: | NJ US |
| Postal Code: | 088763476 |
| Phone Number: | 9084481893 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2009 |
| NPI Last Update Date: | 06/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |