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Specialty details in registry · Kendall Park, NJ

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At a glance

20 Richford Rd, Kendall Park, NJ 08824-1108

NPPES record updated Jun 16, 2018. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

20 Richford Rd
Kendall Park, NJ 08824-1108
Professional details: NPI, taxonomy & registry record
NPI1265942171
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Oct 5, 2017
Record updated
Jun 16, 2018
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

License reported: HP0111700 NJ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

20 Richford Rd
Kendall Park, NJ 08824-1108
Phone
(732) 626-5096
Fax
(732) 626-1511
Mailing address
333 PLUS PARK BLVD

NASHVILLE, TN 372171132
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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