Healthcare Provider Details

I. General information

NPI: 1649448226
Provider Name (Legal Business Name): CENTURY MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 02/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 HOBART ST
PERTH AMBOY NJ
08861-4311
US

IV. Provider business mailing address

280 HOBART ST
PERTH AMBOY NJ
08861-4311
US

V. Phone/Fax

Practice location:
  • Phone: 732-367-0330
  • Fax:
Mailing address:
  • Phone: 732-367-0330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC3099
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BINOD P. SINHA
Title or Position: DIRECTOR
Credential: M.D.
Phone: 732-376-0330