Organization · Type 2 NPI

Affiliated Medical Service

Addiction Medicine (Family Medicine) Physician · Keyport, NJ

NPI number 1467642736 Active

Practice location

25 E Front St
Keyport, NJ 07735-1562

Fax (732) 264-4143

Mailing address

PO Box 27
Keyport, NJ 07735-0027

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401XNone listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

3 other providers at this address

About NPI 1467642736

Affiliated Medical Service's National Provider Identifier is 1467642736, issued on Aug 1, 2007. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Keyport, NJ. The record was last updated on Aug 1, 2007.