| Glendora Family Practice Llc | |
|
1300 Black Horse Pike Glendora NJ 08029-1308 | |
| (856) 939-2828 | |
| (856) 939-5057 |
| Full Name | Glendora Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 Black Horse Pike, Glendora, New Jersey |
| Authorized Official Name and Position | Benjamin Ira Blank (PRESIDENT) |
| Authorized Official Contact | 8569392828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendora Family Practice Llc 1300 Black Horse Pike Glendora NJ 08029-1308 Ph: (856) 939-2828 | Glendora Family Practice Llc 1300 Black Horse Pike Glendora NJ 08029-1308 Ph: (856) 939-2828 |
| NPI Number | 1750336392 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 01/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750336392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB06092600 (New Jersey) | Primary |
Advocare Glendora Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Black Horse Pike, Glendora, NJ 08029 Phone: 856-939-2828 Fax: 856-939-5057 |