Healthcare Provider Details

I. General information

NPI: 1487670212
Provider Name (Legal Business Name): CRANBURY MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 05/25/2021
Certification Date: 05/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 CRANBURY RD STE 104
EAST BRUNSWICK NJ
08816-4000
US

IV. Provider business mailing address

407 GEORGETOWN DR
MORGANVILLE NJ
07751-2613
US

V. Phone/Fax

Practice location:
  • Phone: 732-698-2444
  • Fax: 732-698-9844
Mailing address:
  • Phone: 732-698-2444
  • Fax: 732-698-9844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BORIS EPSTEIN
Title or Position: MEDICAL DIRECTOR
Credential: MD, DO
Phone: 732-698-2444