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Organization
SR CAMPUS PRIMARY CARE PHYSICIANS PC
Active
Organization
SR CAMPUS PRIMARY CARE PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J NARRETT MD (EXECUTIVE VP CHIEF MEDICAL OFFICER)
(410) 402-2258
Entity
Organization
Contact information
Practice address
3000 ESSEX RD, TINTON FALLS, NJ 07753-2631
(732) 643-2070
(732) 643-2015
Mailing address
701 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5968
(410) 402-2258
(410) 402-2264
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
207Q00000X
Family Medicine Physician
—
NJ
207R00000X
Internal Medicine Physician
Primary
—
NJ
213E00000X
Podiatrist
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021873
—
NJ
Enumeration date
05/12/2008
Last updated
10/06/2008
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