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Organization
CRESCENT MEDICAL GROUP PC
Active
Organization
CRESCENT MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HR MANAGER (OWNER)
(973) 777-0000
Entity
Organization
Contact information
Practice address
141 CHESTNUT ST STE 202, ROSELLE PARK, NJ 07204-2282
(908) 280-9600
(908) 248-9390
Mailing address
141 CHESTNUT ST STE 202, ROSELLE PARK, NJ 07204-2282
(908) 280-9600
(908) 248-9390
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/02/2019
Last updated
07/29/2025
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