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Organization

GARY V KARAKASHIAN MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARY V KARAKASHIAN MD (PRESIDENT)
(732) 544-9200
Entity
Organization

Contact information

Practice address
107 MONMOUTH RD, SUITE 108, WEST LONG BRANCH, NJ 07764-1000
(732) 544-9200
Mailing address
107 MONMOUTH RD, SUITE 108, WEST LONG BRANCH, NJ 07764-1000
(732) 544-9200

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05182300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4281192
PROVIDER NUMBER
NJ
05
4511701
NJ
01
MS088
PROVIDER NUMBER
NJ
Enumeration date
08/29/2006
Last updated
08/22/2020
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