| Buena Family Practice Center Llc | |
|
1315 Harding Hwy Richland NJ 08350-0310 | |
| (856) 697-0300 | |
| Not Available |
| Full Name | Buena Family Practice Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 Harding Hwy, Richland, New Jersey |
| Authorized Official Name and Position | John A Pirolli (PARTNER) |
| Authorized Official Contact | 8566970300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Family Practice Center Llc 1315 Harding Highway Po Box 310 Richland NJ 08350 Ph: (856) 697-0300 | Buena Family Practice Center Llc 1315 Harding Hwy Richland NJ 08350-0310 Ph: (856) 697-0300 |
| NPI Number | 1528108917 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528108917 | NPI | - | NPPES |
| 0115968001 | Other | NJ | AMERIHEALTH |
| 552614 | Other | NJ | AETNA |
| CF1937 | Other | NJ | RAILROAD MEDICARE |
| 1528108917 | Other | NJ | MEDICARE NPI |
| 3423603 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB40881 (New Jersey) | Primary |
| 207Q00000X | Family Medicine | MB64919 (New Jersey) | Secondary |
| 207R00000X | Internal Medicine | MB38680 (New Jersey) | Secondary |