Jersey Shore Monmouth Family Medicine Group PC
NPI #1760886139 in Jackson, New Jersey
Provider Information
- NPI Number
- 1760886139
- 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 14, 2014
- Last Updated
- Sep 28, 2022
Practice Location
- Address
- 27 S COOKS BRIDGE RD STE 2-3
- City
- Jackson
- State
- New Jersey
- ZIP Code
- 08527-2462
- 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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