Medemerge PA

NPI #1568884211 in Green Brook, New Jersey

Provider Information

NPI Number
1568884211
Entity Type
Organization
Organization Name
Medemerge PA
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Jan 15, 2014
Last Updated
Jan 15, 2014

Practice Location

Address
1005 N WASHINGTON AVE
ZIP Code
08812-2619
Phone
(732) 968-8900

Authorized Official

Name
KENNY HEINE
Title
VP OF OPERATIONS
Phone
(858) 964-1506

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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