Monmouth Family Medicine Group, P.a.

NPI #1336280825 in Freehold, New Jersey

Provider Information

NPI Number
1336280825
Entity Type
Organization
Organization Name
Monmouth Family Medicine Group, P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 9, 2007
Last Updated
Oct 16, 2012

Practice Location

Address
3499 US HIGHWAY 9
ZIP Code
07728-3258
Phone
(732) 625-3166

Authorized Official

Name
MR. KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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