Provider Demographics
NPI:1629208830
Name:MEDICAL CONSULTANTS OF CENTRAL NJ, LLC
Entity Type:Organization
Organization Name:MEDICAL CONSULTANTS OF CENTRAL NJ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PULIJAAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-390-4700
Mailing Address - Street 1:172 SUMMERHILL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4911
Mailing Address - Country:US
Mailing Address - Phone:732-390-4700
Mailing Address - Fax:732-390-4701
Practice Address - Street 1:172 SUMMERHILL RD
Practice Address - Street 2:SUITE 5
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-4911
Practice Address - Country:US
Practice Address - Phone:732-390-4700
Practice Address - Fax:732-390-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05832400174400000X
NJ25MA07733900207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty