NPI 1043517857

Kespra Medical Center LLC

Organisation Health Maintenance Organization Edison, NJ

Practice location

Address: 22, Meridian Rd Unit 10, Edison, NJ 08820-3144
Phone: (732) 243-9808
Fax: (732) 791-5765
Mailing address: 22 Meridian Rd Unit 10, Edison, NJ 08820-2848

Authorised official

Name: Pulin H Patel
Title: Md/President
Phone: (732) 243-9808

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 25MA08345000 (NJ)

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Registry record

NPI: 1043517857
Entity type: Organization
NPI issued: 15 Feb 2011
Record last updated: 16 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.