Organization
FAMILY PRACTICE OF MIDDLETOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY B KERSHNER D.O. (PRESIDENT)
(732) 720-9548
Entity
Organization
Contact information
Practice address
170 AVENUE AT THE CMN, SHREWSBURY, NJ 07702-4803
(732) 720-9548
(732) 865-7735
Mailing address
170 AVENUE AT THE CMN, SHREWSBURY, NJ 07702-4803
(732) 720-9548
(732) 865-7735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB073124
NJ
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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