| NPI | 1194045914 |
|---|---|
| Former Legal Business Name | CARE STATION MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MIRANDA J AGOSTO Billing Manager 908-925-7519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-03-30 |