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Organization
JOHN P SERSANTI, MD,PC
Active
Organization
JOHN P SERSANTI, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P SERSANTI MD (OWNER)
(732) 797-0477
Entity
Organization
Contact information
Practice address
3 PLAZA DR, SUITE 10, TOMS RIVER, NJ 08757-3759
(732) 797-0477
(732) 797-0644
Mailing address
PO BOX 899, LAKEWOOD, NJ 08701-0899
(732) 797-0477
(732) 797-0644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA07155600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23342
QUAL CARE
NJ
01
—
2373604001
AMERIHEALTH
NJ
01
—
2373606000
AMERIHEALTH
NJ
01
—
7087239
AETNA
NJ
01
—
811776
AETNA
NJ
01
—
8630932
CIGNA
NJ
01
—
9756629
GHI
NJ
01
—
P2457712
OXFORD
NJ
Enumeration date
11/20/2007
Last updated
04/20/2008
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