Organization
BSD MEDICAL PRACTICE II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MICHAEL KANE (MD/CEO)
(845) 202-9787
Entity
Organization
Contact information
Practice address
1620 VAUXHALL RD STE 100-11, UNION, NJ 07083-3409
(908) 882-2025
(718) 387-6429
Mailing address
1620 VAUXHALL RD STE 100-11, UNION, NJ 07083-3409
(908) 882-2025
(718) 387-6429
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
03/18/2025
Last updated
09/16/2025
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