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Organization
MAIN STREET MEDICAL CENTER, PC
Active
Organization
MAIN STREET MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITO Y SANCHEZ MD (MEDICAL DIRECTOR)
(732) 418-0004
Entity
Organization
Contact information
Practice address
186 N MAIN ST, SUITE A, MILLTOWN, NJ 08850-1418
(732) 418-0004
(732) 545-1185
Mailing address
186 N MAIN ST, SUITE A, MILLTOWN, NJ 08850-1418
(732) 418-0004
(732) 545-1185
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
25MA03262900
NJ
Other
Enumeration date
05/12/2006
Last updated
08/22/2020
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