# JERSEY SHORE INTERNAL MEDICINE AND FAMILY PRACTICE ASSOCIATES PC

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

## Provider details

- **NPI number:** 1164488003
- **Authorized official:** CARL MARCHETTI M.D. (DIRECTOR)
- **Authorized official phone:** (732) 643-4312

## Contact information

- **Practice address:** 2-12 CORBETT WAY, STE. 102, EATONTOWN, NJ 07724-4251
- **Practice address phone:** (732) 263-7965
- **Practice address fax:** (732) 263-7962
- **Mailing address:** 2-12 CORBETT WAY, STE. 102, EATONTOWN, NJ 07724-4251
- **Mailing address phone:** (732) 263-7965
- **Mailing address fax:** (732) 263-7962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NJ | — |
| 207R00000X | Internal Medicine Physician | — | NJ | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 03/25/2013