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Contact Information

FAMILY PRACTICE MEDICAL
3814 CHURCH RD
MOUNT LAUREL, NJ08054-1106
 Phone: 856-231-9792
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for FAMILY PRACTICE MEDICAL

NPI # 1194882183
LBN Legal business name FAMILY PRACTICE MEDICAL
Authorized official PEGGY KELLY - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ License # MB44700
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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