New Providence Family Practice Corporation

NPI 1053670216 - Family Medicine - 207Q00000X

NPI Details
NPI 1053670216
Enumeration Date 05/09/2012
Last Updated 05/09/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LORENZO GIOVANNI LORENZO
Position PRESIDENT
Phone (908) 771-9311
Fax (908) 771-9302
Practice Location
139 SOUTH ST
SUITE 201
NEW PROVIDENCE NJ, 07974-1999, US
Phone (908) 771-9311
Fax (908) 771-9302
Business Location
139 SOUTH ST
SUITE 201
NEW PROVIDENCE NJ, 07974-1999, US
Phone (908) 771-9311
Fax (908) 771-9302
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number 25MA04919800
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According to our database, New Providence Family Practice Corporation NPI is 1053670216, taxonomy code is 207Q00000X and license number is 25MA04919800, license state is located at New Jersey. New Providence Family Practice Corporation physically located at 139 South St, New Providence NJ, 07974-1999. NPI Number 1033115704 has the healthcare provider type.

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1053670216 NPI number is provided on an as is basis without warranty of any kind. 1053670216 is maintained by the National Plan & Provider Enumeration System. The contents of New Providence Family Practice Corporation are for informational purposes only.