K PRIMARY CARE AND MEDICAL NUTRITION CENTER

NEW PROVIDENCE, NJ
NPI1477948362
Entity TypeOrganization
Authorized ContactMAUREEN DOHERTY
Credentialing Contact
908-206-4676
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2015-03-30
Last Update Date2015-09-01
Business Address
K PRIMARY CARE AND MEDICAL NUTRITION CENTER
571 CENTRAL AVE SUITE 104
NEW PROVIDENCE, NJ 07974-1547
Phone number: 908-206-4676
Mailing Address
K PRIMARY CARE AND MEDICAL NUTRITION CENTER
571 CENTRAL AVE SUITE 104
NEW PROVIDENCE, NJ 07974-1547
Phone number: 908-206-4676
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