Annandale Family Practice, Llc

NPI 1003080169 - Clinic/Center - 261QP2300X

NPI Details
NPI 1003080169
Enumeration Date 04/18/2008
Last Updated 04/18/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THERESA A THERESA
Position DIRECTOR
Phone (908) 238-0100
Fax (908) 238-0951
Practice Location
56 PAYNE RD
SUITE 21
LEBANON NJ, 08833-3262, US
Phone (908) 238-0100
Fax (908) 238-0951
Business Location
56 PAYNE RD
SUITE 21
LEBANON NJ, 08833-3262, US
Phone (908) 238-0100
Fax (908) 238-0951
Toxanomy
Taxonomy Code 261QP2300X
License State New Jersey
License Number 25MA07764100
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According to our database, Annandale Family Practice, Llc NPI is 1003080169, taxonomy code is 261QP2300X and license number is 25MA07764100, license state is located at New Jersey. Annandale Family Practice, Llc physically located at 56 Payne Rd, Lebanon NJ, 08833-3262. NPI Number 1033115704 has the healthcare provider type.

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1003080169 NPI number is provided on an as is basis without warranty of any kind. 1003080169 is maintained by the National Plan & Provider Enumeration System. The contents of Annandale Family Practice, Llc are for informational purposes only.