# CARE STATION MEDICAL GROUP, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care Station Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386963429
- **Authorized official:** MIRANDA J AGOSTO (BILLING MANAGER)
- **Authorized official phone:** (908) 925-7519

## Contact information

- **Practice address:** 90 US HIGHWAY 22, SPRINGFIELD, NJ 07081-3110
- **Practice address phone:** (973) 467-2273
- **Practice address fax:** (973) 467-5385
- **Mailing address:** PO BOX 352, LINDEN, NJ 07036-0352
- **Mailing address phone:** (908) 925-7519
- **Mailing address fax:** (908) 925-2842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2010
- **Last updated:** 03/30/2017