Organization
CORNWALL POLYCLINIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN LEVINE M.D. (MANAGER)
(732) 698-0700
Entity
Organization
Contact information
Practice address
3 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3311
(732) 698-0700
Mailing address
3 CORNWALL DR, EAST BRUNSWICK, NJ 08816-3311
(732) 698-0700
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
MA023897
NJ
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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