Jersey Shore Monmouth Family Medicine Group PC
NPI #1679976435 in Jackson, New Jersey
Provider Information
- NPI Number
- 1679976435
- Entity Type
- Organization
- Organization Name
- Jersey Shore Monmouth Family Medicine Group PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 7, 2014
- Last Updated
- Oct 7, 2014
Practice Location
- Address
- 27 S COOKS BRIDGE RD
- Address 2
- SUITE 27
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-2524
- Phone
- (732) 987-5545
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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