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Individual

MR. SERGIUSZ I KAFTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
150 N FINLEY AVE # 207, BASKING RIDGE, NJ 07920-1686
(908) 766-1223
Mailing address
150 N FINLEY AVE # 207, BASKING RIDGE, NJ 07920-1686
(908) 766-1223

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA46768
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0464660001
AMERIHEALTH
01
0K3680
HEALTH NET
01
22-3498100
TAX ID
01
223498100
BLUE CROSS
01
P00263171
RAILROAD MEDICARE
NJ
Enumeration date
07/27/2006
Last updated
12/26/2023
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