| Family Practice Medical Associates | |
|
290 Lafayette Ave Hawthorne NJ 07506-1961 | |
| (973) 839-1003 | |
| (973) 839-3653 |
| Full Name | Family Practice Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 290 Lafayette Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Marjorie M Condon (OWNER/PROVIDER) |
| Authorized Official Contact | 9738391003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Medical Associates 290 Lafayette Ave Hawthorne NJ 07506-1961 Ph: (973) 839-1003 | Family Practice Medical Associates 290 Lafayette Ave Hawthorne NJ 07506-1961 Ph: (973) 839-1003 |
| NPI Number | 1649663188 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649663188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB05411900 (New Jersey) | Primary |
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