Woodbine Family Medical

NPI #1962794420 in Woodbine, New Jersey

Provider Information

NPI Number: 1962794420
Entity Type: Organization
Organization Name: Woodbine Family Medical
Primary Specialty: Family Medicine
Enumeration Date: May 3, 2011
Last Updated: May 3, 2011

Practice Location

Address: 713 DEHIRSCH AVE
City: Woodbine
State: New Jersey
ZIP Code: 08270-2339
Phone: (609) 861-4241

Authorized Official

Name: DORIS JACOB
Title: OWNER
Phone: (609) 861-4241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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