Jackson Family Practice LLC
NPI #1922244060 in Freehold, New Jersey
Provider Information
- NPI Number
- 1922244060
- Entity Type
- Organization
- Organization Name
- Jackson Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 19, 2008
- Last Updated
- Jun 21, 2018
Practice Location
- Address
- 80 SCENIC DR
- Address 2
- SUITE 6
- City
- Freehold
- State
- New Jersey
- ZIP Code
- 07728-5210
- Phone
- (732) 683-0010
Authorized Official
- Name
- MIAH KIM, DO
- Title
- OWNER
- Phone
- (732) 683-0010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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