Provider Demographics
NPI:1942280409
Name:KARGMAN, JEFFREY MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MARK
Last Name:KARGMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2130 HIGHWAY 35
Mailing Address - Street 2:BUILDING A, SUITE 124
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-1010
Mailing Address - Country:US
Mailing Address - Phone:732-974-3500
Mailing Address - Fax:732-974-3501
Practice Address - Street 1:2130 HIGHWAY 35
Practice Address - Street 2:BUILDING A, SUITE 124
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1010
Practice Address - Country:US
Practice Address - Phone:732-974-3500
Practice Address - Fax:732-974-3501
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA045977002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF64984Medicare UPIN