| Family Practice Medical | |
|
3814 Church Rd Mount Laurel NJ 08054-1106 | |
| (856) 231-9792 | |
| Not Available |
| Full Name | Family Practice Medical |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 3814 Church Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Peggy A Kelly (OFFICE MANAGER) |
| Authorized Official Contact | 8562319792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Medical 3814 Church Rd Mount Laurel NJ 08054-1106 Ph: (856) 231-9792 | Family Practice Medical 3814 Church Rd Mount Laurel NJ 08054-1106 Ph: (856) 231-9792 |
| NPI Number | 1194882183 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194882183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MB44700 (New Jersey) | Primary |
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