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Organization

MERIDIAN MEDICAL GROUP-PEDIATRIC UROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH SABLE M.D. (PRESIDENT AND TREASURER)
(732) 776-4900
Entity
Organization

Contact information

Practice address
1200 JUMPING BROOK RD, BLDG 5, NEPTUNE, NJ 07753-2634
(732) 902-7000
(732) 481-8464
Mailing address
557 CRANBURY RD, SUITE 4, EAST BRUNSWICK, NJ 08816-5419
(732) 613-9144

Taxonomy

Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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