Organization
MAIN STREET MEDICAL GROUP LLC
Active
Organization
MAIN STREET MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY PALMIERI (OWNER/MANAGER)
(646) 335-5140
Entity
Organization
Contact information
Practice address
199 MAIN ST, SUITE 200, KEANSBURG, NJ 07734-1768
(732) 787-3456
(888) 251-1086
Mailing address
199 MAIN ST, SUITE 200, KEANSBURG, NJ 07734-1768
(732) 787-3456
(888) 251-1086
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NJ
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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