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Organization
ALLSTATE MEDICAL GROUP, LLC
Active
Organization
ALLSTATE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA MCCALL (OWNER)
(908) 397-8538
Entity
Organization
Contact information
Practice address
16 JOHNSON RD, SOMERSET, NJ 08873-2930
(908) 315-5299
Mailing address
16 JOHNSON RD, SOMERSET, NJ 08873-2930
(908) 315-5299
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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