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Organization
CENTRASTATE MEDICAL CENTER
Active
Organization
CENTRASTATE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH FAISTL M.D (MEDICAL PROGRAM DIRECTOR)
(732) 294-2540
Entity
Organization
Contact information
Practice address
1001 W MAIN ST, FREEHOLD, NJ 07728-2579
(732) 294-2540
Mailing address
20105 BAINBRIDGE WAY, FREEHOLD, NJ 07728-4866
(732) 513-2546
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
NULL
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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