Organization
OPTUM MEDICAL CARE OF NEW JERSEY PC
Active
Other names
Riverside Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG RAVAJI BRAHMBHATT MD (CMO)
(551) 257-7030
Entity
Organization
Contact information
Practice address
10 KETTLE CREEK RD, TOMS RIVER, NJ 08753-1700
(732) 255-7070
(732) 255-9364
Mailing address
1 HARMON PLZ FL 10, SECAUCUS, NJ 07094-2803
(201) 636-7233
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
06/02/2023
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