Healthcare Provider Details

I. General information

NPI: 1346294048
Provider Name (Legal Business Name): BRUNSWICK INTERNAL MEDICINE GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/02/2022
Certification Date: 08/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3270 STATE ROUTE 27 SUITE 1300
KENDALL PARK NJ
08824-1496
US

IV. Provider business mailing address

3270 STATE ROUTE 27 SUITE 1300
KENDALL PARK NJ
08824-1496
US

V. Phone/Fax

Practice location:
  • Phone: 732-940-7777
  • Fax: 732-940-7736
Mailing address:
  • Phone: 732-940-7777
  • Fax: 732-940-7736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: INDERJIT SINGH KAINTH
Title or Position: OWNER
Credential:
Phone: 732-940-7777