Family Medicine Group LLC

NPI #1376842914 in Bloomingdale, New Jersey

Provider Information

NPI Number
1376842914
Entity Type
Organization
Organization Name
Family Medicine Group LLC
Primary Specialty
Family Medicine
Enumeration Date
Mar 22, 2011
Last Updated
Mar 22, 2011

Practice Location

Address
73 CLARK ST
ZIP Code
07403-1300
Phone
(908) 822-9700

Authorized Official

Name
DR. CHANDRA MANGRA, MD
Title
MD
Phone
(973) 908-4754

Specialties & Taxonomy Codes

Specialty
Family Medicine

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