# KESPRA MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043517857
- **Authorized official:** DR. PULIN H PATEL MD (MD/PRESIDENT)
- **Authorized official phone:** (732) 243-9808

## Contact information

- **Practice address:** 22, MERIDIAN RD UNIT 10, EDISON, NJ 08820-3144
- **Practice address phone:** (732) 243-9808
- **Practice address fax:** (732) 791-5765
- **Mailing address:** 22 MERIDIAN RD UNIT 10, EDISON, NJ 08820-2848
- **Mailing address phone:** (732) 243-9808
- **Mailing address fax:** (732) 791-5765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 25MA08345000 | NJ | Yes |

## Other

- **Enumeration date:** 02/15/2011
- **Last updated:** 01/16/2024