Organization
MIDDLESEX MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI A. CARSGO (MANAGER)
(732) 356-3212
Entity
Organization
Contact information
Practice address
619 UNION AVE, BUILDING 1 FIRST FLOOR, MIDDLESEX, NJ 08846-1963
(732) 356-3212
(732) 356-5002
Mailing address
619 UNION AVE, BUILDING 1 FIRST FLOOR, MIDDLESEX, NJ 08846-1963
(732) 356-3212
(732) 356-5002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA061062
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41191
AETNA GROUP NUMBER
NJ
05
—
7520204
—
NJ
Enumeration date
01/11/2006
Last updated
12/08/2009
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