| Family Medical Wellness Pc | |
|
125 Oakland Ave Ste 203 Port Jefferson NY 11777 | |
| (631) 928-9326 | |
| Not Available |
| Full Name | Family Medical Wellness Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Oakland Ave, Port Jefferson, New York |
| Authorized Official Name and Position | James E Carlson (DOCTOR) |
| Authorized Official Contact | 6319289326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Wellness Pc 125 Oakland Ave Ste 203 Mail Box 6 Port Jefferson NY 11777 Ph: (631) 928-9326 | Family Medical Wellness Pc 125 Oakland Ave Ste 203 Port Jefferson NY 11777 Ph: (631) 928-9326 |
| NPI Number | 1174820955 |
|---|---|
| Provider Enumeration Date | 02/14/2011 |
| Last Update Date | 02/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174820955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 204062 (New York) | Primary |
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