Family Medicine Center

NPI #1992041107 in Little Egg Harbor Twp, New Jersey

Provider Information

NPI Number
1992041107
Entity Type
Organization
Organization Name
Family Medicine Center
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Dec 14, 2012
Last Updated
Dec 14, 2012

Practice Location

Address
279 MATHISTOWN RD
ZIP Code
08087-4021
Phone
(609) 296-1101

Authorized Official

Name
KENNY HEINE
Title
VP OPS
Phone
(858) 964-1506

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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