Organization
CARTER MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY RENEE MACK APN (CEO, OWNER)
(856) 305-1600
Entity
Organization
Contact information
Practice address
321 E BROAD ST, GIBBSTOWN, NJ 08027-2007
(856) 305-1600
Mailing address
321 E BROAD ST, GIBBSTOWN, NJ 08027-2007
(856) 335-2288
(856) 335-2267
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0759571
—
NJ
Enumeration date
04/06/2020
Last updated
09/05/2021
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