The Collaborative Healthcare Group Of Nj
Internal Medicine in North Brunswick, NJ. Organization (NPI-2).
NPI number1275356560
StatusActive
Last updated in NPPESNov 5, 2024
Details
- NPI
- 1275356560
- Entity type
- Organization (NPI-2)
- Legal business name
- The Collaborative Healthcare Group Of Nj
- Organization subpart
- No
- Enumeration date
- Nov 5, 2024
- Certification date
- Nov 5, 2024
- Last updated
- Nov 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | – | – | |
| 207RG0100X | Internal Medicine, Gastroenterology | – | – | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | |
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | – | – | |
| 2084N0008X | Psychiatry & Neurology, Neuromuscular Medicine | – | – | |
| 213E00000X | Podiatrist | – | – | |
| 213ES0000X | Podiatrist, Sports Medicine | – | – | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – |
Practice location
1598 Rte 130North Brunswick, NJ 08902-3040
Phone 877-328-7112 · Fax 877-260-9979
Mailing address
5 Stone Hill RdManahawkin, NJ 08050-5618
Phone 877-328-7112 · Fax 877-260-9979
Authorized official
Kevin Scott Macniven
Ceo
8773287112
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