Organization
FAMILY PRACTICE OF MIDDLETOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KERSHNER D.O. (DIRECTOR/OWNER)
(732) 720-9548
Entity
Organization
Contact information
Practice address
1 RIVERVIEW PLZ, RED BANK, NJ 07701-1864
(732) 720-9548
(201) 501-8502
Mailing address
8 MULBERRY LN, ATLANTIC HIGHLANDS, NJ 07716-2246
(732) 720-9548
(201) 501-8502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07312400
NJ
Other
Enumeration date
06/17/2006
Last updated
07/21/2022
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