Provider Demographics
NPI:1215548698
Name:CORNERSTONE FAMILY CARE LLC
Entity Type:Organization
Organization Name:CORNERSTONE FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-242-4222
Mailing Address - Street 1:1921 OAK TREE RD STE 103
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2073
Mailing Address - Country:US
Mailing Address - Phone:732-242-4222
Mailing Address - Fax:732-242-4170
Practice Address - Street 1:1921 OAK TREE RD STE 103
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2073
Practice Address - Country:US
Practice Address - Phone:732-242-4222
Practice Address - Fax:732-242-4170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty