Provider Demographics
NPI:1346294048
Name:BRUNSWICK INTERNAL MEDICINE GROUP PC
Entity Type:Organization
Organization Name:BRUNSWICK INTERNAL MEDICINE GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INDERJIT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:KAINTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-940-7777
Mailing Address - Street 1:3270 STATE ROUTE 27
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1496
Mailing Address - Country:US
Mailing Address - Phone:732-940-7777
Mailing Address - Fax:732-940-7736
Practice Address - Street 1:3270 STATE ROUTE 27
Practice Address - Street 2:SUITE 1300
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1496
Practice Address - Country:US
Practice Address - Phone:732-940-7777
Practice Address - Fax:732-940-7736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0041572Medicaid
NJ0041572Medicaid