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NPI Code Detail

MEDICARE: SERGE I KAFTAL, M.D

MEDICARE: SERGE I KAFTAL, M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMA46768NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DD9664OTHERNJRAILROAD MEDICARE

General Provider Information

NPI Number : 1972782902
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERGE I KAFTAL, M.D
Provider Business Mailing Address
First Line : 10 ANDERSON HILL RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-2323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 ANDERSON HILL RD
Second Line :
City : BERNARDSVILLE
State : NJ
Zip : 07924-2323
Country : US
Telephone Number : 908-766-1223
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. SERGE KAFTAL
Credential : M.D
Telephone Number : 973-200-4407
Provider Enumeration Date : 10/26/2007
Last Update Date : 10/26/2007

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