# CENTRASTATE MEDICAL CENTER

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

## Provider details

- **NPI number:** 1326205659
- **Authorized official:** DR. KENNETH FAISTL M.D (MEDICAL PROGRAM DIRECTOR)
- **Authorized official phone:** (732) 294-2540

## Contact information

- **Practice address:** 1001 W MAIN ST, FREEHOLD, NJ 07728-2579
- **Practice address phone:** (732) 294-2540
- **Mailing address:** 20105 BAINBRIDGE WAY, FREEHOLD, NJ 07728-4866
- **Mailing address phone:** (732) 513-2546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0005X | Ambulatory Family Planning Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2008
- **Last updated:** 05/22/2008