Organization
CARE STATION MEDICAL GROUP, PA
Active
Other names
Care Station Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA J AGOSTO (BILLING MANAGER)
(908) 925-7519
Entity
Organization
Contact information
Practice address
456 PROSPECT AVE, WEST ORANGE, NJ 07052-4112
(973) 731-6767
(973) 731-9881
Mailing address
PO BOX 352, LINDEN, NJ 07036-0352
(908) 925-7519
(908) 925-2842
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
03/30/2017
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