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Organization
NORTHERN MECIAL CENTER PC
Active
Organization
NORTHERN MECIAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRA MATCHIN (EXECUTIVE DIRECTOR)
(732) 238-3800
Entity
Organization
Contact information
Practice address
51 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-5711
(732) 238-3800
(732) 238-2883
Mailing address
51 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-5711
(732) 238-3800
(732) 238-2883
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MA 039611
NJ
207R00000X
Internal Medicine Physician
25MA07937500
NJ
207R00000X
Internal Medicine Physician
Primary
25MB07663700
NJ
213E00000X
Podiatrist
25MD00274100
NJ
Other
Enumeration date
07/05/2006
Last updated
09/11/2025
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