Main Street Family Medicine, PA
NPI #1467510008 in Hammonton, New Jersey
Provider Information
- NPI Number
- 1467510008
- Entity Type
- Organization
- Organization Name
- Main Street Family Medicine, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 5, 2006
- Last Updated
- Apr 18, 2008
Practice Location
- Address
- 111 VINE ST
- City
- Hammonton
- State
- New Jersey
- ZIP Code
- 08037-1447
- Phone
- (609) 561-2518
Authorized Official
- Name
- DR. WALTER D CRANE, D.O.
- Title
- PHYSICIAN
- Phone
- (609) 561-2518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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