Organization
CENTRAL JERSEY PULMONARY & MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM T BEBAWY MD FCCP (DR OWNER)
(732) 264-1001
Entity
Organization
Contact information
Practice address
719 N BEERS ST, SUITES 2E & 2F, HOLMDEL, NJ 07733
(732) 264-1001
(732) 264-4495
Mailing address
719 N BEERS ST, SUITES 2E & 2F, HOLMDEL, NJ 07733
(732) 264-1001
(732) 264-4495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050687
—
NJ
Enumeration date
02/01/2006
Last updated
07/28/2011
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