Organization
ASSOCIATES IN FAMILY AND GERIATRIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN EISENSTAT D.O. (MANAGING MEMBER)
(908) 688-4845
Entity
Organization
Contact information
Practice address
1050 GALLOPING HILL RD, SUITE 202, UNION, NJ 07083-7983
(908) 688-4845
Mailing address
1050 GALLOPING HILL RD, SUITE 202, UNION, NJ 07083-7983
(908) 688-4845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB04663300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB04663300
NJ LICENSE
NJ
Enumeration date
09/20/2010
Last updated
09/20/2010
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