Affiliated Medical Service
Organization Active NPI Addiction Medicine (Family Medicine) Physician · Keyport, NJ
NPI 1467642736 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1467642736
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- Legal business name
- AFFILIATED MEDICAL SERVICE
- Practice address
- 25 E Front St
Keyport, NJ 07735-1562 - Phone
- (732) 264-7222
- Fax
- (732) 264-4143
- NPI assigned
- Aug 1, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- NEW LIFE COUNSELING
Authorized official
- Name
- Ms. Rosemary Sherman
- Title
- Ceo
- Phone
- (732) 264-7222
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- New Life Counseling
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | NJ | Yes |
Addresses
Primary practice location
25 E Front St
Keyport, NJ 07735-1562
Mailing address
PO Box 27
Keyport, NJ 07735-0027
Phone (732) 264-7222
Other providers in Keyport, NJ
All providers in Keyport, NJ · Addiction Medicine (Family Medicine) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.