NPI 1467642736 · live from the CMS NPI Registry
Affiliated Medical Service
Family Medicine, Addiction Medicine in Keyport, NJ. National Provider Identifier 1467642736, active.
NPI record
| NPI | 1467642736 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 25 E Front St, Keyport, NJ 07735 |
| Practice phone | 732-264-7222 |
| Mailing address | Po Box 27, Keyport, NJ 07735 |
| Enumerated | August 1, 2007 |
| Last updated | August 1, 2007 |
| Authorized official | Rosemary Sherman, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Addiction Medicine primary | 207QA0401X | 2000197-06 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.