Family Practice Medical

NPI 1194882183 - Family Medicine - 207QG0300X

NPI Details
NPI 1194882183
Enumeration Date 01/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PEGGY A PEGGY
Position OFFICE MANAGER
Phone (856) 231-9792
Fax
Practice Location
3814 CHURCH RD
MOUNT LAUREL NJ, 08054-1106, US
Phone (856) 231-9792
Fax
Business Location
3814 CHURCH RD
MOUNT LAUREL NJ, 08054-1106, US
Phone (856) 231-9792
Fax
Toxanomy
Taxonomy Code 207QG0300X
License State New Jersey
License Number MB44700
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According to our database, Family Practice Medical NPI is 1194882183, taxonomy code is 207QG0300X and license number is MB44700, license state is located at New Jersey. Family Practice Medical physically located at 3814 Church Rd, Mount Laurel NJ, 08054-1106. NPI Number 1033115704 has the healthcare provider type.

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1194882183 NPI number is provided on an as is basis without warranty of any kind. 1194882183 is maintained by the National Plan & Provider Enumeration System. The contents of Family Practice Medical are for informational purposes only.