Organization
AVENEL ISELIN MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN PARENTE (PRACTICE ADMINISTRATOR)
(732) 404-1580
Entity
Organization
Contact information
Practice address
400 GILL LN, ISELIN, NJ 08830-3001
(732) 404-1580
(732) 404-1594
Mailing address
400 GILL LN, ISELIN, NJ 08830-3001
(732) 404-1580
(732) 404-1594
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
213E00000X
Podiatrist
25MD00101300
NJ
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4805470001
NJ
Other
Enumeration date
07/20/2006
Last updated
10/04/2024
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