Individual
KINSHASA C MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 GEORGE ST, 1ST FLOOR, NEW BRUNSWICK, NJ 08901-2008
(732) 235-7828
(732) 246-7317
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08125600
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
25MA08125600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188999
—
NJ
Enumeration date
07/25/2007
Last updated
07/25/2011
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