FAMILY PRACTICE MEDICAL
Organization (NPI-2)
Active
Family Medicine, Geriatric Medicine
Provider Information
- NPI Number
1194882183- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3814 CHURCH RD, MOUNT LAUREL, NJ, 080541106
- Phone
- (856) 231-9792
Specialties & Taxonomies
Family Medicine, Geriatric Medicine
Primary License: NJ #MB44700