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Organization

REFORMED CHURCH MINISTRIES TO THE AGING, THE PARTICULAR SYNOD OF THE M

Active
Other names
Reformed Church House Staff
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD MEZIC MD (PHYSICIAN)
(732) 349-3838
Entity
Organization

Contact information

Practice address
1990 STATE ROUTE 18, OLD BRIDGE, NJ 08857-3771
(732) 607-9230
(732) 607-9231
Mailing address
PO BOX 1247, TOMS RIVER, NJ 08754-1247

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4477511
NJ
Enumeration date
05/15/2007
Last updated
12/04/2024
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