Center for Preventative Medicine of New Jersey

NPI #1083747299 in South Orange, New Jersey

Provider Information

NPI Number: 1083747299
Entity Type: Organization
Organization Name: Center for Preventative Medicine of New Jersey
Primary Specialty: Internal Medicine
Enumeration Date: Mar 14, 2007
Last Updated: Apr 16, 2013

Practice Location

Address: 5 STANLEY RD
City: South Orange
State: New Jersey
ZIP Code: 07079-2721
Phone: (973) 762-6077

Authorized Official

Name: DR. KEVIN D HOLDER, MD
Title: OWNER
Phone: (973) 762-6077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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