Organization
CARBON HEALTH MEDICAL GROUP OF NEW JERSEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAILTIN BOYLE (DIRECTOR)
(303) 601-5392
Entity
Organization
Contact information
Practice address
1603 W LANE AVE # C168, COLUMBUS, OH 43221-3924
(614) 647-9646
(888) 972-1912
Mailing address
2100 FRANKLIN ST STE 355, OAKLAND, CA 94612-3140
(415) 446-1733
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
07/16/2024
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