Organization
SOMERSET FAMILY PRACTICE
Active
Parent organization
SOMERSET MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOMERSET MEDICAL CENTER
Authorized official
MOJY GOHARIE (OFFICE MANAGER)
(908) 685-2584
Entity
Organization
Contact information
Practice address
110 REHILL AVENUE, SOMERVILLE, NJ 08876
(908) 685-2584
Mailing address
110 REHILL AVENUE, SOMERVILLE, NJ 08876
(908) 685-2584
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8488002
—
NJ
Enumeration date
09/12/2012
Last updated
09/12/2012
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