Kendall Park Medical Group
NPI #1477784155 in Kendall Park, New Jersey
Provider Information
- NPI Number
- 1477784155
- Entity Type
- Organization
- Organization Name
- Kendall Park Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 29, 2009
- Last Updated
- Jul 29, 2009
Practice Location
- Address
- 3 STANWORTH RD # A
- City
- Kendall Park
- State
- New Jersey
- ZIP Code
- 08824-1003
- Phone
- (732) 940-0505
Authorized Official
- Name
- DR. JAIME F LARA, M.D.
- Title
- PHYSICIAN
- Phone
- (732) 940-0505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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