Oswego Family Physicians PC

NPI #1629489588 in Oswego, New York

Provider Information

NPI Number
1629489588
Entity Type
Organization
Organization Name
Oswego Family Physicians PC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
May 14, 2014
Last Updated
May 14, 2014

Practice Location

Address
110 W UTICA ST
City
Oswego
ZIP Code
13126-3047
Phone
(315) 342-2024

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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