Nj-Brooklyn Medical Associates, LLC
NPI #1316294572 in Keyport, New Jersey
Provider Information
- NPI Number
- 1316294572
- Entity Type
- Organization
- Organization Name
- Nj-Brooklyn Medical Associates, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 7, 2012
- Last Updated
- Aug 26, 2013
Practice Location
- Address
- 39 W FRONT ST
- City
- Keyport
- State
- New Jersey
- ZIP Code
- 07735-1209
- Phone
- (732) 264-2224
Authorized Official
- Name
- KEVIN CUSTIS, M.D.
- Title
- SOLE PROPRIETOR
- Phone
- (732) 264-2224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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