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Organization
SENIOR CAMPUS PRIMARY CARE PHYSICIANS PC
Active
Organization
SENIOR CAMPUS PRIMARY CARE PHYSICIANS PC
Active
Other names
Cedar Crest Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J. NARRETT M.D. (EXECUTIVE VP, CMO)
(410) 402-2261
Entity
Organization
Contact information
Practice address
1 CEDAR CREST DR, POMPTON PLAINS, NJ 07444-2100
(973) 831-3540
(973) 831-3503
Mailing address
701 MAIDEN CHOICE LN, BALTIMORE, MD 21228-5968
(410) 402-2261
(410) 402-2264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
213E00000X
Podiatrist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021873
—
NJ
Enumeration date
05/13/2008
Last updated
06/21/2018
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